KRISTINA MARIE SPURLOCK MA, LMHC
NPI 1053821132
Counselor - Mental Health in Mill Creek, WA

Active since October 03, 2017Opted out of Medicare · through Mar 6, 2028
16300 MILL CREEK BLVD STE 119, MILL CREEK, WA 98012(425) 522-2105(425) 472-1112 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2024, Dec 26, 2018 (2 updates tracked since 2018).

About Kristina Marie Spurlock Ma, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA MARIE SPURLOCK MA, LMHC (NPI 1053821132) is an individual mental health provider in Mill Creek, Washington, licensed in Washington (LH60983431) and active in the NPI registry since October 2017. She has opted out of Medicare through March 6, 2028.

NPPES Registry Identity

NPI1053821132
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTINA MARIE SPURLOCKCredential: MA, LMHC
Location Address16300 MILL CREEK BLVD STE 119Mill Creek, WA 98012-1278
Mailing Address16300 Mill Creek Blvd Ste 119Mill Creek, WA 98012-1278 · (425) 522-2105 · Fax (425) 472-1112
Fax(425) 472-1112
Sole ProprietorYes
Enumeration DateOctober 3, 2017
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
NPI 1053821132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WA · LH60983431 Licensed in WA · MC60797899
16300 MILL CREEK BLVD STE 119, Mill Creek, WA 98012

Other Identifiers 2

OtherLH60983431WA · Mental Health Counseling License
OtherMC60797899WA · Licensure

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kristina Marie Spurlock Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2024 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2024
Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
16300 MILL CREEK BLVD STE 119
MILL CREEK, WA 98012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristina Spurlock's NPI number?

The NPI number for Kristina Spurlock is 1053821132. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Kristina Spurlock located?

Kristina Spurlock practices at 16300 Mill Creek Blvd Ste 119, Mill Creek, WA 98012. The listed phone number is (425) 522-2105.

What is Kristina Spurlock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kristina Spurlock enrolled in Medicare?

No. Kristina Spurlock has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kristina Spurlock accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kristina Spurlock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristina Spurlock was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.