MR. KENNETH DAVID ALFRED MA, LMHC, CDPT
NPI 1982079521
Counselor in Olympia, WA

Q: What is Kenneth Alfred's NPI number?

The NPI number for Kenneth Alfred is 1982079521. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Q: What is Kenneth Alfred's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Alfred was last updated on November 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 08, 2015

711 STATE AVE NE, OLYMPIA, WA 98506(360) 943-0780 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 27, 2018, Dec 8, 2015 (2 updates tracked since 2015).

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About Mr. Kenneth David Alfred Ma, Lmhc, Cdpt NPPES

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

MR. KENNETH DAVID ALFRED MA, LMHC, CDPT (NPI 1982079521) is an individual counselor in Olympia, Washington, licensed in Washington (LH60880498) and active in the NPI registry since December 2015. He maintains a secondary practice location in Clackamas.

NPPES Registry Identity

NPI1982079521

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. KENNETH DAVID ALFREDCredential: MA, LMHC, CDPT

Location Address711 STATE AVE NEOlympia, WA 98506

Mailing Address711 State Ave NeOlympia, WA 98506 · (360) 943-0780

Phone(360) 943-0780

Sole ProprietorNo

Enumeration DateDecember 8, 2015

Last NPPES UpdateNovember 27, 20182 updates tracked since enumeration

✔ NPI 1982079521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · LH60880498

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

711 STATE AVE NE, Olympia, WA 98506

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Secondary Practice Location 1

Location 112901 SE 97th AveClackamas, OR 97015-7901 · Phone (503) 655-8045 · Fax (503) 655-6806

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.

SEA MAR COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))