Individual provider Active NPI

Kristen Lynn Sobkowiak, MA

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1932499951
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60148851 Issued in WA
Practice address
124 E Augusta Ave
Ste 100
Spokane, WA 99207-2481
Phone
(509) 325-0777
Fax
(509) 325-3464
NPI assigned
Apr 11, 2011
Last updated
Apr 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60148851 WA Primary

Addresses

Primary practice location

124 E Augusta Ave
Ste 100
Spokane, WA 99207-2481

Mailing address

5904 W Armstrong Dr
Spokane, WA 99224-4947
Phone (509) 263-9709

Other names 1

  • Ms. Kristen Lynn Burk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60148851WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Treatment and Recovery Services Current Accepting new patients
Community Detox Services of Spokane Current Accepting new patients
At Parr Outpatient Services, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spokanerecovery/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1932499951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 W ARMSTRONG DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992244947",
            "telephone_number": "509-263-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E AUGUSTA AVE",
            "address_2": "STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072481",
            "telephone_number": "509-325-0777",
            "fax_number": "509-325-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBKOWIAK",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60148851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BURK",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.