Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kirsten Rose Hallstrom Henebry, PSYD

Individual provider Psychologist · NPI 1285150979

Kirsten Rose Hallstrom Henebry, PSYD is a Clinical Psychologist in Shoreline, Washington. Qualified in 2016, 10 years ago. Practices with Iora Health Washington Physicians PC, a 36-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2017
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

15214 Aurora Ave N
Shoreline, WA 98133-6143
Phone: (206) 518-9021
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 W Mission Ave, Spokane, WA 99201-2358 — (509) 326-4343

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY60736474 (WA)

Record details

NPI number1285150979
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Iora Health Washington Physicians Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Shoreline