Kenneth Ray Pimpleton, MSW, C-PA, BA, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00005512 Issued in WA

Practice address

2502 Tacoma Ave S
Tacoma, WA 98402-1310

Phone

(253) 759-0852

Fax

(253) 752-0514

NPI assigned

Mar 28, 2012

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

Credentials

Bachelor of Arts

State licenses

Practice roles

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

• Community Counseling Institiute

  • Specialist
  • Tacoma, WA
  • NPI 1215130166
  NPD (past)
• Community Counseling Institute

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1538467907
  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1144596610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 MARTIN WAY E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165851",
            "telephone_number": "360-515-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021310",
            "telephone_number": "253-759-0852",
            "fax_number": "253-752-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMPLETON",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "MSW, C-PA, BA, SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "00005512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Paige Pilla, CTRS
• Ashley Nicole Pilling
• Jaren Pilling, PA-C
• Katherine L Pilot, CDP
• Emerson Isael Pimentel
• Daniella Athena Pinard, MSW, LSWAIC
• Katherine H Pinard, LMP
• Nancy C Pinckley, RN
• Simon Howard Pincus, M.D.
• Lindsey T Pineda, LICSW

• Addiction (Substance Use Disorder) Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

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