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MALISSA KAUTZ CO61248684
NPI 1194595926
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since January 03, 2024
4301 S PINE ST STE 92, TACOMA, WA 98409(253) 507-5334(253) 330-5182 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malissa Kautz Co61248684 NPPES

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

MALISSA KAUTZ CO61248684 (NPI 1194595926) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CO61248684) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1194595926
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMALISSA KAUTZCredential: CO61248684
Location Address4301 S PINE ST STE 92Tacoma, WA 98409-7259
Mailing Address11127 10th Avenue Ct E Apt A303Parkland, WA 98445-7081 · (253) 592-4509
Phone(253) 507-5334
Fax(253) 330-5182
Sole ProprietorNo
Enumeration DateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
✔ NPI 1194595926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO61248684
4301 S PINE ST STE 92, Tacoma, WA 98409
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Other Providers at the Same Location NPPES 5

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

NATASHA RAE EASON SUDPT
Counselor (Addiction (Substance Use Disorder))
4301 S PINE ST STE 92
TACOMA, WA 98409
Pierce County (253) 205-4405
SHUNDRA MARIE KING CDP
Counselor (Addiction (Substance Use Disorder))
4301 S PINE ST STE 92
TACOMA, WA 98409
Pierce County (253) 507-5334
QENA ORTIZ HARRIS
Counselor (Addiction (Substance Use Disorder))
4301 S PINE ST STE 92
TACOMA, WA 98409
Pierce County (253) 507-5334
MERESSA MAMON
Counselor (Addiction (Substance Use Disorder))
4301 S PINE ST STE 92
TACOMA, WA 98409
Pierce County (253) 507-5334
FOR THE CULTURE COUNSELING SERVICES
Substance Abuse Rehabilitation Facility
4301 S PINE ST STE 92
TACOMA, WA 98409
Pierce County (206) 383-0810

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 Malissa Kautz's NPI number?

The NPI number for Malissa Kautz is 1194595926. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Malissa Kautz located?

Malissa Kautz practices at 4301 S Pine St Ste 92, Tacoma, WA 98409. The listed phone number is (253) 507-5334.

What is Malissa Kautz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Malissa Kautz was last updated on January 3, 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.