Active NPI
Rachael Anna Kimble, LMSW
- Mental Health Counselor
- Moscow, ID
National Provider Identifier
1245524545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW31395
- Practice address
- 317 W 6TH St Ste 208
Moscow, ID 83843-2387 - Phone
- (208) 882-5960
- Fax
- (208) 882-0957
- NPI assigned
- Jun 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW31395 | ID | Primary |
Addresses
Primary practice location
317 W 6TH St Ste 208
Moscow, ID 83843-2387
Mailing address
317 W 6TH St Ste 208
Moscow, ID 83843-2387
Phone (208) 882-5960
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW31395 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1245524545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 W 6TH ST STE 208",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432387",
"telephone_number": "208-882-5960",
"fax_number": "208-882-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W 6TH ST STE 208",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432387",
"telephone_number": "208-882-5960",
"fax_number": "208-882-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBLE",
"first_name": "RACHAEL",
"middle_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMSW31395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.