IndividualActive
Kathryn List, LMSW, LICSWA, SUDPT
NPI 1477936136 · Mental Health Counselor · Tacoma, WA
Provider details
- NPI number
- 1477936136
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMSW, LICSWA, SUDPT
- Sex
- Female
- Sole proprietor
- No
- License
- LMSW - 30945 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
922 S J St
Tacoma, WA 98405-4110
Phone: (253) 300-2848
Street-level locationGet directions
Mailing address
1650 S Topaz Way
Meridian, ID 83642-4474
Additional practice locations (5)
- 6600 W Emerald StBoise, ID 83704-8738Phone: (208) 609-9020
- 7941 W Rifleman StBoise, ID 83704-9001Phone: (208) 895-7950
- 9292 W Barnes DrBoise, ID 83709-1554Phone: (208) 795-3515
- 2335 E State AveMeridian, ID 83642-8808Phone: (208) 672-1801
- 847 Parkcentre Way Ste 7Nampa, ID 83651-1794Phone: (208) 229-6050
Registry dates
- Enumerated
- 2015-06-30
- Last updated
- 2024-09-23
- Certified
- 2024-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.