Christine L Kakalecik, MSFPSY., CTSS, PAI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9406 17TH PL NE
Lake Stevens, WA 98258-8590

Phone

(425) 343-5442

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Northshore Youth and Family Services

  • Community/Behavioral Health Agency
  • Bothell, WA
  • NPI 1952609133
  NPD

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1942883632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 120TH AVE NE STE 108",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980119523",
            "telephone_number": "425-485-6541",
            "fax_number": "425-485-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 17TH PL NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588590",
            "telephone_number": "425-343-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKALECIK",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSFPSY., CTSS, PAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Stanley Johnstone II, D.C.
• Molly Elizabeth-Nobach Jones
• Bre Nicole Jordon, LMT
• Christina Faith Joslin, L.M.P.
• JVC Interpreting Services LLC
• Ellena Karpenko, LM, CPM
• Janamjeet N/a Kaur, PMHNP-BC
• M'Lissa Kaysner, LMT
• Hana Kebede
• Sarah A Keller, LMP

• Mental Health Counselor in Lake Stevens, WA
• Providers in Lake Stevens, 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 Apr 30, 2021; 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.