Individual provider Active NPI

Kimberly Lynn Singh, M.A.,L.M.H.C.

  • Mental Health Counselor
  • University Place, WA
National Provider Identifier
1003096702
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60227238 Issued in WA
Practice address
7406 27TH St W Ste 1
University Place, WA 98466-4635
Phone
(253) 691-3945
NPI assigned
Nov 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60227238 WA Primary

Addresses

Primary practice location

7406 27TH St W Ste 1
University Place, WA 98466-4635

Mailing address

7406 27TH St W Ste 1
University Place, WA 98466-4635
Phone (253) 691-3945

Other identifiers 1

IdentifierTypeStateIssuer
202012MedicaidWA

Other names 1

  • Kimberly Lynn Arbuckle Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60227238WAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1003096702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 27TH ST W STE 1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664635",
            "telephone_number": "253-691-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 27TH ST W STE 1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664635",
            "telephone_number": "253-691-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "M.A.,L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60227238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202012",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ARBUCKLE",
            "middle_name": "LYNN",
            "credential": "M.A.L.M.H.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.