KIRSTEN ROSE HALLSTROM HENEBRY PSYD
NPI 1285150979
Psychologist in Shoreline, WA

Active since August 15, 2017PECOS EnrolledAccepts Medicare Assignment
15214 AURORA AVE N, SHORELINE, WA 98133(206) 518-9021(415) 252-7176 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2020, Aug 15, 2017 (2 updates tracked since 2017).

About Kirsten Rose Hallstrom Henebry Psyd NPPES

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

KIRSTEN ROSE HALLSTROM HENEBRY PSYD (NPI 1285150979) is an individual psychologist in Shoreline, Washington, licensed in Washington (PY60736474) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285150979
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIRSTEN ROSE HALLSTROM HENEBRYCredential: PSYD
Location Address15214 AURORA AVE NShoreline, WA 98133-6143
Mailing Address15214 Aurora Ave NShoreline, WA 98133-6143 · (206) 518-9021 · Fax (415) 252-7176
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 15, 2017
Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
NPI 1285150979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60736474
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
15214 AURORA AVE N, Shoreline, WA 98133

Secondary Practice Location 1

Location 1120 W Mission AveSpokane, WA 99201-2358 · Phone (509) 326-4343

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

Kirsten Rose Hallstrom Henebry Psyd 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 ID2163788340
PECOS Enrollment IDI20171102003526
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

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.
52 services44 patients

Other Providers at the Same Location NPPES 11

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

Family Medicine
15214 AURORA AVE N
SHORELINE, WA 98133
Physician Assistant
15214 AURORA AVE N
SHORELINE, WA 98133
Internal Medicine
15214 AURORA AVE N
SHORELINE, WA 98133
Physician Assistant
15214 AURORA AVE N
SHORELINE, WA 98133
Nurse Practitioner
15214 AURORA AVE N
SHORELINE, WA 98133
Family Medicine
15214 AURORA AVE N
SHORELINE, WA 98133
Counselor (Mental Health)
15214 AURORA AVE N
SHORELINE, WA 98133
Physician Assistant
15214 AURORA AVE N
SHORELINE, WA 98133

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 Kirsten Hallstrom Henebry's NPI number?

The NPI number for Kirsten Hallstrom Henebry is 1285150979. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Kirsten Hallstrom Henebry located?

Kirsten Hallstrom Henebry practices at 15214 Aurora Ave N, Shoreline, WA 98133. The listed phone number is (206) 518-9021.

What is Kirsten Hallstrom Henebry's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kirsten Hallstrom Henebry enrolled in Medicare?

Yes. Kirsten Hallstrom Henebry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kirsten Hallstrom Henebry accept?

Health plans from Providence Health Plan list Kirsten Hallstrom Henebry 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 Kirsten Hallstrom Henebry was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.