Healthcare Provider Details

I. General information

NPI: 1700303997
Provider Name (Legal Business Name): KATHERINE L SIMONPIETRI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19125 N CREEK PKWY
BOTHELL WA
98011-8035
US

IV. Provider business mailing address

76 WILD ROSE LN
LEAVENWORTH WA
98826-7816
US

V. Phone/Fax

Practice location:
  • Phone: 425-375-0432
  • Fax: 425-740-0516
Mailing address:
  • Phone: 626-676-9140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: