Kimberly D Brady, M.S. LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1403 S Grand Blvd Ste 101S
Spokane, WA 99203-2272

Phone

(509) 209-3503

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Dawn Fechner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1053563502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E 41ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032926",
            "telephone_number": "509-209-3503",
            "fax_number": "509-747-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 101S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032272",
            "telephone_number": "509-209-3503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Sprague Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992013627",
            "country_code": "US",
            "telephone_number": "509-343-5001 x5040",
            "fax_number": "509-747-0609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "M.S. LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60529373",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FECHNER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashlee Nicole Bradshaw, LMHC
• Jessica Bradshaw
• Alysha Rachelle Brady, MSW
• Brenda Leticia Brady
• Gavin Brady, DPT
• Mark Charles Brady, PTA
• Michael A Brady, PA-C
• Shelley Marie Brady, LMP
• David Bragin-Sanchez, MD
• Justin Braid, ARNP

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.