Michele Diane Clayton-Kaster

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004657 Issued in WA

Practice address

18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533

Phone

(360) 394-8558

NPI assigned

Feb 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Suquamish Tribal

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Suquamish, WA
  • NPI 1083747216

  Mental Health

  NPD (past)
• Suquamish Tribal

  • General Practice Physician
  • Suquamish, WA
  • NPI 1114674942
  NPD (past)

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1942506845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983921228",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18490 SUQUAMISH WAY NE UNIT 107",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929533",
            "telephone_number": "360-394-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON-KASTER",
        "first_name": "MICHELE",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Russell Botefuhr, DC
• Sable Elizabeth Bruce, M.A.
• Brian Graham Burwell, CDPT
• Jenny L Carr, LMP
• Rebecca Carr
• Rodney J Dwyer, LMP
• Kristine Kelley Ewing, MD
• Jonathan Glover, MSW
• Anna Joy Gottlieb
• Susannah Margaret Hart Stephens, LICSW, SUDP

• Mental Health Counselor in Suquamish, WA
• Providers in Suquamish, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.