Healthcare Provider Details

I. General information

NPI: 1922999440
Provider Name (Legal Business Name): KOCOTT AND ASSOCIATES,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2025
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4113 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE WA
98466-4325
US

IV. Provider business mailing address

4113 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE WA
98466-4325
US

V. Phone/Fax

Practice location:
  • Phone: 253-460-5524
  • Fax: 253-444-5451
Mailing address:
  • Phone: 253-460-5524
  • Fax: 253-444-5451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA HOPE KOCOTT
Title or Position: OWNER THERAPIST
Credential: MA LMHC
Phone: 253-460-5524