Active NPI
Oxana Yuryevna Kulakova, MC
- Mental Health Counselor
- Redmond, WA
National Provider Identifier
1992233589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60741836
- Practice address
- 16150 NE 85TH St Ste 220
Redmond, WA 98052-3546 - Phone
- (425) 558-0558
- NPI assigned
- May 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60741836 | WA | Primary |
Addresses
Primary practice location
16150 NE 85TH St Ste 220
Redmond, WA 98052-3546
Mailing address
2030 13TH Ave W Apt 205
Seattle, WA 98119-2777
Phone (206) 708-9412
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60741836 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandbox Therapy Group, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495756800000",
"number": "1992233589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 13TH AVE W APT 205",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981192777",
"telephone_number": "206-708-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST STE 220",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523546",
"telephone_number": "425-558-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULAKOVA",
"first_name": "OXANA",
"middle_name": "YURYEVNA",
"name_prefix": "Ms.",
"credential": "MC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2017-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60741836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.