Individual provider Active NPI

Kimberly Richan, KIMBERLY RICHAN

  • Counselor
  • Seattle, WA
National Provider Identifier
1124349352
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SC60113506 Issued in WA
Practice address
2915 E Madison St Ste 306
Seattle, WA 98112-4254
Phone
(206) 708-4622
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SC60113506 WA Primary

Addresses

Primary practice location

2915 E Madison St Ste 306
Seattle, WA 98112-4254

Mailing address

2915 E Madison St Ste 306
Seattle, WA 98112-4254
Phone (206) 708-4622

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

State licenses

LicenseStateTypeSpecialty
SC60113506WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1124349352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 E MADISON ST STE 306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124254",
            "telephone_number": "206-708-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 E MADISON ST STE 306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124254",
            "telephone_number": "206-708-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHAN",
        "first_name": "KIMBERLY",
        "credential": "KIMBERLY RICHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "SC60113506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.