MS. KATHRYN CORINNE KITZING CP60324554; MC608611
NPI 1780119982
Counselor - Mental Health in Issaquah, WA

Active since April 25, 2017Opted out of Medicare · through Sep 14, 2026
390 E SUNSET WAY, ISSAQUAH, WA 98027(253) 553-7231 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, May 2, 2019, Apr 25, 2017 (3 updates tracked since 2017).

About Ms. Kathryn Corinne Kitzing Cp60324554; Mc608611 NPPES

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

MS. KATHRYN CORINNE KITZING CP60324554; MC608611 (NPI 1780119982) is an individual mental health provider in Issaquah, Washington, licensed in Washington (MC60861137) and active in the NPI registry since April 2017. She has opted out of Medicare through September 14, 2026 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780119982
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KATHRYN CORINNE KITZINGCredential: CP60324554; MC608611
Location Address390 E SUNSET WAYIssaquah, WA 98027-3441
Mailing Address390 E Sunset WayIssaquah, WA 98027-3441 · (253) 553-7231
Sole ProprietorNo
Enumeration DateApril 25, 2017
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1780119982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WA · MC60861137 Licensed in WA · LH61069288
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60324554 (WA)
390 E SUNSET WAY, Issaquah, WA 98027

Secondary Practice Locations 2

Location 1400 108th Ave NE Ste 700Bellevue, WA 98004 · Phone (245) 454-1199 · Fax (425) 454-8779
Location 2824 E Main StAuburn, WA 98002-5625 · Phone (253) 553-7231

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Kathryn Corinne Kitzing Cp60324554; Mc608611 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 September 14, 2024 through September 14, 2026.

Opt-Out Effective DateSeptember 14, 2024
Opt-Out In Effect ThroughSeptember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Family Medicine
390 E SUNSET WAY
ISSAQUAH, WA 98027
Clinic/Center (Primary Care)
390 E SUNSET WAY
ISSAQUAH, WA 98027

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 Kathryn Kitzing's NPI number?

The NPI number for Kathryn Kitzing is 1780119982. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Kathryn Kitzing located?

Kathryn Kitzing practices at 390 E Sunset Way, Issaquah, WA 98027. The listed phone number is (253) 553-7231.

What is Kathryn Kitzing's specialty?

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

Is Kathryn Kitzing enrolled in Medicare?

No. Kathryn Kitzing has opted out of Medicare through September 14, 2026. 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 Kathryn Kitzing was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.