KENYACKTIE HARTSHORN PSY.D.
NPI 1144510942
Psychologist - Clinical in Burien, WA

Q: What is Kenyacktie Hartshorn's NPI number?

The NPI number for Kenyacktie Hartshorn is 1144510942. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Q: What is Kenyacktie Hartshorn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 13, 2011PECOS EnrolledAccepts Medicare Assignment

16251 SYLVESTER RD SW, BURIEN, WA 98166(253) 226-1369 Get Directions Write a Review

NPPES record last updated: December 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenyacktie Hartshorn Psy.d. NPPES

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

KENYACKTIE HARTSHORN PSY.D. (NPI 1144510942) is an individual clinical provider in Burien, Washington, licensed in Washington (PY60212285) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144510942

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKENYACKTIE HARTSHORNCredential: PSY.D.

Location Address16251 SYLVESTER RD SWBurien, WA 98166-3017

Mailing AddressPo Box 25173Federal Way, WA 98093-2173

Phone(253) 226-1369

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 13, 2011

Last NPPES UpdateDecember 3, 2016

✔ NPI 1144510942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY60212285

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License PY60212285 (WA)

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PY60212285 (WA)

16251 SYLVESTER RD SW, Burien, WA 98166

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenyacktie Hartshorn Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668629239

PECOS Enrollment IDI20120904000680

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

65 services34 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

17 services17 patients

Psychiatric diagnostic evaluation 90791

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.37 typical visit price

range $63.67 – $189.37

Typical copayment $47.34 (range $15.91 – $47.34)

Most-billed visit code 99205

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THU PHUONG LE DO

Emergency Medicine