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

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: July 19, 2026.

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
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

Accepted 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
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.
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.

Pathology (Clinical Pathology/Laboratory Medicine)
16251 SYLVESTER RD SW, HIGHLINE PATHOLOGY ASSOCIATES PC KINDRED A RITCHIE MD
BURIEN, WA 98166
Pathology (Clinical Pathology/Laboratory Medicine)
16251 SYLVESTER RD SW, HIGHLINE PATHOLOGY ASSOCIATES PC THOMAS DEAN MD
BURIEN, WA 98166
Pathology (Clinical Pathology/Laboratory Medicine)
16251 SYLVESTER RD SW, HIGHLINE PATHOLOGY ASSOCIATES PC GARRETT ALCORN MD
BURIEN, WA 98166
Anesthesiology
16251 SYLVESTER RD SW
BURIEN, WA 98166
Pharmacist
16251 SYLVESTER RD SW
BURIEN, WA 98166
Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166
Physician Assistant
16251 SYLVESTER RD SW
BURIEN, WA 98166
Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144510942, enumerated as an "individual" on April 13, 2011.

The provider is located at 16251 SYLVESTER RD SW BURIEN, WA 98166 and the phone number is (253) 226-1369.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.

Kenyacktie Hartshorn is affiliated with: ST JOSEPH MEDICAL CENTER.