1407309958 NPI number — KATIE LEE SAVAGE M.S., LCPC, LMHC

Table of content: KATIE LEE SAVAGE M.S., LCPC, LMHC (NPI 1407309958)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407309958 NPI number — KATIE LEE SAVAGE M.S., LCPC, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAVAGE
Provider First Name:
KATIE
Provider Middle Name:
LEE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S., LCPC, LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MICHLITSCH
Provider Other First Name:
KATIE
Provider Other Middle Name:
LEE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1407309958
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/05/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 339
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLANCHARD
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83804-0339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-227-1297
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
132 BUMPY WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLANCHARD
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83804-5110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-227-1297
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH61097567 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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