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KRISTOPHER MCLLOYD SHULTZ
NPI 1083381669
Counselor - Mental Health in Burien, WA

Active since August 23, 2021Opted out of Medicare · through Mar 27, 2028
1210 SW 136TH ST, BURIEN, WA 98166(206) 257-6600 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristopher Mclloyd Shultz NPPES

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

KRISTOPHER MCLLOYD SHULTZ (NPI 1083381669) is an individual mental health provider in Burien, Washington and active in the NPI registry since August 2021. He has opted out of Medicare through March 27, 2028.

NPPES Registry Identity

NPI1083381669
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTOPHER MCLLOYD SHULTZ
Location Address1210 SW 136TH STBurien, WA 98166-1214
Mailing Address1210 Sw 136th StBurien, WA 98166-1214 · (206) 257-6600
Phone(206) 257-6600
Sole ProprietorYes
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1083381669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1210 SW 136TH ST, Burien, WA 98166
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristopher Mclloyd Shultz 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 27, 2026 through March 27, 2028.

Opt-Out Effective DateMarch 27, 2026
Opt-Out In Effect ThroughMarch 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

TAYLOR MARIE GROGAN
Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600
ELSA NOBUE MOORE
Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600
CHRISTINA MARIANNE LITTLE
Registered Nurse (Psychiatric/Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-1219
DAVE WOLTHAUSEN CD , LMHC
Counselor (Addiction (Substance Use Disorder))
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600
COOPER PERRY
Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600
CAITLIN MARGITAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 669-9245
MR. ANDREW LOGAN AGENCY AFFILIATED
Counselor
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6913
HALEY VALENTINE JOHNSON SUDPT
Counselor (Addiction (Substance Use Disorder))
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600

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 Kristopher Shultz's NPI number?

The NPI number for Kristopher Shultz is 1083381669. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Kristopher Shultz located?

Kristopher Shultz practices at 1210 SW 136th St, Burien, WA 98166. The listed phone number is (206) 257-6600.

What is Kristopher Shultz's specialty?

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

Is Kristopher Shultz enrolled in Medicare?

No. Kristopher Shultz has opted out of Medicare through March 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristopher Shultz was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.