Individual provider Active NPI

Kristin R Duenow, LMHC

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1962498865
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61025792 Issued in WA
Practice address
1801 W Bay Dr NW
Olympia, WA 98502-4310
Phone
(406) 670-2761
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60691611 MT
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X LH61025792 WA Primary

Addresses

Primary practice location

1801 W Bay Dr NW
Olympia, WA 98502-4310

Mailing address

1670 Kennedy PL
Dupont, WA 98327-9791
Phone (406) 670-2761

Other identifiers 1

IdentifierTypeStateIssuer
760820OtherMTBLUE CROSS BLUE SHIELD

Other names 1

  • Kristin R Duenow-Sills Other 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP60691611MTMDAddiction (Substance Use Disorder) Counselor
LH61025792WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1962498865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 KENNEDY PL",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279791",
            "telephone_number": "406-670-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W BAY DR NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024310",
            "telephone_number": "406-670-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENOW",
        "first_name": "KRISTIN",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "CP60691611",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61025792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "760820",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "DUENOW-SILLS",
            "middle_name": "R",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.