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Deactivated NPI 1073257390 Deactivated / Inactive NPI Male Practitioner

Thomas J B Kipnis

Counselor • Everett, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Kipnis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 22, 2022
NPI Deactivation Date January 08, 2026
Total Practice Duration ~4 Years of Practice (2022 – 2026)

Professional Overview & Biography Verified Profile Summary

Thomas Kipnis was a registered Counselor practicing in Everett, WA. Throughout an active medical career spanning 4 years, Thomas Kipnis provided care at the practice location at 811 MADISON ST until profile deactivation on 2026-01-08.

Practice Location & Contact Primary Location

Practice Address

811 Madison St

Everett, WA 982034543

Telephone 4252124200
Fax 4252124200
Associated Practice Facility / Clinic
🏢 Sunrise Services, Inc. Facility NPI 1205917317

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
869 Specialists

Practicing in Everett, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rita Kostelik , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003009135

Advanced Registered Nurse Practitioner

NPI 1003210477

Registered Nurse

Ashley Dyer

Counselor

NPI 1003261405
Beverly Carman , SUDP

Counselor - Addiction (Substance Use Disorder)

NPI 1003262957
Kayleigh Thomas

Counselor - Mental Health

NPI 1003293663
NPI 1003357856

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 08, 2026

Record deactivated on January 08, 2026

NPI Profile Active April 22, 2022

NPI status registered as active in NPPES database

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Updated Practice Location April 22, 2022

Registered at 811 MADISON ST, EVERETT, WA 982034543 (Tel: 4252124200)

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Updated Business Mailing Address April 22, 2022

Registered at 14751 N KELSEY ST STE 105, MONROE, WA 982721458 (Tel: 5593078512)

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Provider Name / Credentials Updated April 22, 2022

Recorded as THOMAS KIPNIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2022

Counselor

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Initial NPI Registration & Enumeration April 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073257390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2022
Last Update: April 22, 2022
Deactivation Date: January 08, 2026

Mailing Address

14751 N Kelsey St Ste 105

Monroe, WA 982721458

Phone: 5593078512

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.