Kristen Kathleen Butler, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mountlake Terrace, Washington. Her current practice location is
6505 216th St Sw Ste 100, Mountlake Terrace, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 640-7009.
Kristen Kathleen Butler is licensed to practice in Washington (license number LW60280554) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033433511.
Healthcare Provider's Profile
Full Name | Kristen Kathleen Butler |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6505 216th St Sw Ste 100, Mountlake Terrace, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033433511
- Provider Enumeration Date: 03/26/2010
- Last Update Date: 11/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012150600
- Enrollment ID: I20130829000560
Medical Identifiers
Medical identifiers for Kristen Kathleen Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033433511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | RC00056686 (Washington) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LW60280554 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Kathleen Butler allows following entities to bill medicare on her behalf.
Entity Name | Valley Cities Counseling And Consultation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972668853 PECOS PAC ID: 6406842053 Enrollment ID: O20040421000498 |
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Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
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Entity Name | Counseling Services For Wellbeing, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588080626 PECOS PAC ID: 2163641598 Enrollment ID: O20140917002638 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Kathleen Butler is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristen Kathleen Butler, LICSW 100 N Howard St Ste W, Spokane, WA 99201-0508 Ph: () - | Kristen Kathleen Butler, LICSW 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043-2089 Ph: (425) 640-7009 |
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