Rainier Compassionate Counseling

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60484482 Issued in WA

Legal business name

RAINIER COMPASSIONATE COUNSELING

Practice address

22216 SE 272ND St
Maple Valley, WA 98038-7420

Phone

(425) 429-8031

NPI assigned

Mar 4, 2017

Last updated

Jun 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Jane Rosenkoetter, PH.D.NPI 1689857054

Title

Owner

Phone

(425) 413-8031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, MT2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Jane Rosenkoetter, PH.D.

  • Clinical Psychologist
  • Maple Valley, WA
  • NPI 1689857054

  MT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1942740378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22216 SE 272ND ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387420",
            "telephone_number": "425-429-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22216 SE 272ND ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387420",
            "telephone_number": "425-429-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER COMPASSIONATE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "ROSENKOETTER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-413-8031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60484482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Public Hospital District #1 of King County (VMC Lake Sawyer Primary Care)
• Carson Leigh Pyatt, MS, CF-SLP
• Yifei Qin
• Alison C. Querro, MS CCC-SLP
• Cori Lynn Raddigan, LCSWA, LCAS-A
• Jeffrey John Ramos, P.T.
• Sarah M Ramstad, M.A.
• Tessa M. Ravotti, DPT
• Kristel Recks, PHARMD
• Jenae Reeve, DPT

• Psychologist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.