Individual provider Active NPI

Kathryn Zawislak

  • Mental Health Counselor
  • Buckley, WA
National Provider Identifier
1922547231
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
117 S Cedar St, Suite 2
Buckley, WA 98321
Phone
(253) 820-2474
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

117 S Cedar St, Suite 2
Buckley, WA 98321

Mailing address

PO Box 1462
Buckley, WA 98321-1462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814000969 WA Practitioner - Mental Health Counselor 5698213270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kathryn Zawislak Therapy and AssociatesGroup PAC ID 4789122367, 4 clinicians

Practice addresses (Care Compare)

417 E Pioneer
Suite B
Puyallup, WA 98372-3267
Phone (253) 285-8673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Zawislak Therapy & Associates CurrentSince Jun 10, 2024 Accepting new patients
Kathryn Zawislak Therapy Current Accepting new patients
Kzta PastSince Jun 10, 2024 Accepting new patients

Locations

417 E Pioneer
Ste B
Puyallup, WA 98372
Phone (253) 285-8673

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1922547231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1462",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983211462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S CEDAR ST, SUITE 2",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "98321",
            "telephone_number": "253-820-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWISLAK",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckley, WA

Sources for this page

Verify at the official NPI Registry.