Healthcare Provider Details

I. General information

NPI: 1225401557
Provider Name (Legal Business Name): KATHLEEN SEMANSKY M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE # 359797
SEATTLE WA
98104-2499
US

IV. Provider business mailing address

4801 RAINIER AVE S APT 420
SEATTLE WA
98118-2182
US

V. Phone/Fax

Practice location:
  • Phone: 650-271-4231
  • Fax:
Mailing address:
  • Phone: 650-271-4231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0107156
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number61465359
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: