Lakewood Child and Family Counseling LLC is a Mental Health Counselor (organization) practicing in Lakewood, Washington. The National Provider Identifier (NPI) is #1952635716, which was assigned on September 28, 2009, and the registration record was last updated on July 2, 2021. The practitioner's main practice location is at 9311 Bridgeport Way Sw, Lakewood, WA 98499-1570; the contact telephone number is 2536173559, and the fax number is 2534861916. The primary taxonomy of Lakewood Child and Family Counseling LLC is Mental Health Counselor (101YM0800X), with specialization in Mental Health. The authorized official for Lakewood Child and Family Counseling LLC is Mrs. Michelle L Klekota-Chisholm (Therapist, Owner). Lakewood Child and Family Counseling LLC is licensed to practice in the state of Washington (#LH 60231172), Washington (#LH 60231172).
| NPI | 1952635716 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD CHILD AND FAMILY COUNSELING LLC |
| Provider Name | LAKEWOOD CHILD AND FAMILY COUNSELING LLC |
| Practice Address |
9311 Bridgeport Way Sw Lakewood WA 98499-1570 |
| Practice Telephone | 2536173559 |
| Practice Fax Number | 2534861916 |
| Mailing Address |
5409 100th St Sw Unit 98765 Lakewood WA 98496-0836 |
| Mailing Telephone | 2536173559 |
| Certification Date | 2021-07-02 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2021-07-02 |
| Is Organization Subpart | N |
| Official Name | MRS. MICHELLE L KLEKOTA-CHISHOLM |
| Official Title | THERAPIST, OWNER |
| Credential | MA, LMHC |
| Telephone | 2536173559 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 193200000X MULTI-SPECIALTY GROUP | LH 60231172 | WA | |
| Y | 101YM0800X | Counselor | Mental Health | 193200000X MULTI-SPECIALTY GROUP | LH 60231172 | WA |
| N | 106H00000X | Marriage & Family Therapist | 193200000X MULTI-SPECIALTY GROUP |
| Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| Classification | Counselor |
| Specialization | Mental Health |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Code | 101Y00000X |
| Taxonomy | Counselor |
| Classification | Counselor |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| Classification | Marriage & Family Therapist |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cory Jubitz | 207 E Franklin St, Bingen, WA 98605-9131 | Mental Health Counselor | 2024-12-07 |
| Natalia Gurmendi | 155 N Michigan Ave Ste 707, Chicago, IL 60601-7706 | Mental Health Counselor | 2024-12-06 |
| Sheyla P Neira-Changa | 765 Silverwood Dr, Lake Mary, FL 32746-4947 | Mental Health Counselor | 2024-12-07 |
| Blanche W Murphy | 17637 W Julie Ln, Gurnee, IL 60031-4217 | Mental Health Counselor | 2024-12-06 |
| Javier Ocariz L.L.C. | 5717 Stapleton Ln Nw, Rochester, MN 55901-3717 | Mental Health Counselor | 2024-12-07 |
| Rhea N Webster-Eckenrode | 1410 E Market St, York, PA 17403-1253 | Mental Health Counselor | 2024-12-07 |
| Joseph Fening | 2347 Vine St, Cincinnati, OH 45219-1745 | Mental Health Counselor | 2024-12-07 |
| Brittany Kathleen Rivera | 2653 N Kedzie Ave, Chicago, IL 60647-1607 | Mental Health Counselor | 2024-12-07 |
| Dwell Therapy Collective LLC | 1601 Walnut St, Philadelphia, PA 19102-2944 | Mental Health Counselor | 2024-12-07 |
| Teresa Mitchell | 2111 College Dr, Gallup, NM 87301-5600 | Mental Health Counselor | 2024-12-06 |
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| Street Address |
9311 BRIDGEPORT WAY SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-1570 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Alissa Christine Mcclellan | 9311 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Clinical Social Worker | 2017-06-30 |
| Michelle L Klekota-Chisholm | 9311 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Mental Health Counselor | 2008-09-03 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lane Martin Meyer | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | General Practice Dentistry | 2006-12-23 |
| Urvisha Shethia | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Speech-Language Pathologist | 2023-09-06 |
| Sean O Dahlstrom | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Pediatric Occupational Therapist | 2023-07-17 |
| Paige Kensil | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Occupational Therapist | 2020-03-01 |
| Vanyda Khoeuy | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Occupational Therapy Assistant | 2024-06-26 |
| Michelle Dawn Lane | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Occupational Therapy Assistant | 2023-07-17 |
| Erin Michaela Renard | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Occupational Therapy Assistant | 2023-07-20 |
| Kathryn Donna Hardy · K.D. Hardy Caballero | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Speech-Language Pathologist | 2023-08-17 |
| Cole Sky Therapy PLLC | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Occupational Therapist | 2022-08-22 |
| Amber Loretta Salutric | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | Speech-Language Pathologist | 2024-12-02 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Frederick Paltron Edwards | 9500 Front Street, Suite 100, Lakewood, WA 98499 | Addiction (Substance Use Disorder) Counselor | 2017-06-08 |
| Leroy Moore III | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | Counselor | 2017-12-18 |
| Wellspring Home Health Center, LLC | 8815 S. Tacoma Way, Suite 120, Lakewood, WA 98499 | Home Health Agency | 2020-02-19 |
| Marcela Cunan | 9330 59th Avenue Southest, Lakewood, WA 98499 | Mental Health Counselor | 2018-07-11 |
| Seoul Chinese Herbs Inc | 8705 S. Tacoma Way, Lakewood, WA 98499 | Acupuncturist | 2019-06-14 |
| Jennifer Rubio | 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 | Registered Nurse | 2015-12-28 |
| Gabrielle T Folino | 10116 36 Ave. Ct. Sw, Lakewood, WA 98499 | Counselor | 2016-04-08 |
| Emerald City Enhanced Services · Emerald City Health | 11421 Pacific Hwy Sw, Lakewood, WA 98499 | Assisted Living Facility (Mental Illness) | 2023-04-20 |
| Fridah Muthoni Moore · Fridah Muthoni Waweru | 9330 59th St Ave Sw, Lakewood, WA 98499 | Case Manager/Care Coordinator | 2024-02-20 |
| Nikhila Pokkuluri · Nikhila J | 9100 Bridgeport Way Se, Lakewood, WA 98499 | Student in an Organized Health Care Education/Training Program | 2021-07-14 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wisconsin Lutheran Child & Family Service, Inc · Christian Family Counseling | 2777 Hardin St, Saginaw, MI 48602-3710 | Professional Counselor | 2016-01-25 |
| Wisconsin Lutheran Child & Family Servic, Ince · Christian Family Counseling | 11655 W Mcmillan Rd, Boise, ID 83713-2648 | Professional Counselor | 2016-11-22 |
| Wisconsin Lutheran Child & Family Service · Christian Family Counseling | 5300 N Meade St, Appleton, WI 54913-8383 | Addiction (Substance Use Disorder) Counselor | 2016-06-30 |
| Wisconsin Lutheran Child & Family Service · Christian Family Counseling | 3040 W Capitol Dr, Milwaukee, WI 53216-2618 | Professional Counselor | 2016-07-20 |
| Wisconsin Lutheran Child & Family Service · Christian Family Counseling | 2450 W Roosevelt Dr, Milwaukee, WI 53209-6659 | Professional Counselor | 2016-06-30 |
| Misty Solt Child and Family Counseling Clinic of Collin County PLLC | 2591 Dallas Pkwy, Suite #300, Frisco, TX 75034-8542 | Community/Behavioral Health Agency | 2008-04-09 |
| Wisconsin Lutheran Child & Family Services · Christian Family Counseling | 1660 Haslett Rd, Suite 1, Haslett, MI 48840-8469 | Marriage & Family Therapist | 2012-09-13 |
| Wisconsin Lutheran Child & Family Service · Christian Family Counseling | 1200 Oakdale Ave, West St Paul, MN 55118-2601 | Psychologist | 2015-08-11 |
| Wisconsin Lutheran Child & Family Services · Christian Family Counseling | 1995 Luther Ct, New Ulm, MN 56073-3965 | Professional Counselor | 2012-09-10 |
| Wisconsin Lutheran Child & Family Service, Inc. · Christian Family Counseling | 9550 W Brown Deer Rd, Milwaukee, WI 53224-2012 | Professional Counselor | 2015-08-10 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |