Charles W Kimmel III

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Practice address

1420 Sr 20
Sedro Woolley, WA 98284-1385

Phone

(360) 854-7400

NPI assigned

Aug 31, 2026

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Telecare Mental Health Services of Washington, Inc.

  dba North Sound Evaluation and Treatment

  • Mental Illness Community Based Residential Treatment Facility
  • Sedro Woolley, WA
  • NPI 1659758639
  NPD (past)

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1093623993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SR 20",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841385",
            "telephone_number": "360-854-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SR 20",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841385",
            "telephone_number": "360-854-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Ellingson Watson, PLLC
• Dennese Kennedy
• Brian Joseph Keown
• Laurie Diane Kester, LPN
• Peyton Emelia Kettleband
• Marisa Lynn Kimmel
• William E Kimmel
• Krista Jean Kindred
• Susan Kindy, RN
• Alyssa King, DNP

• Recovery Care Clinic/Center in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Recovery Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.