Individual provider Active NPI

Kimberly Steedle, MA, LMHCA, CMHS

  • Mental Health Counselor
  • Kent, WA
National Provider Identifier
1316412802
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60693806 Issued in WA
Practice address
232 2ND Ave S Ste 201
Kent, WA 98032-5862
Phone
(253) 859-0300
Fax
(253) 859-0745
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60693806 WA Primary

Addresses

Primary practice location

232 2ND Ave S Ste 201
Kent, WA 98032-5862

Mailing address

232 2ND Ave S Ste 201
Kent, WA 98032-5862
Phone (253) 859-0300

Other names 1

  • Kimberly Schneider Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60693806WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kent Youth and Family Services Past Accepting new patients
Kent Youth and Family Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1316412802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 2ND AVE S STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325862",
            "telephone_number": "253-859-0300",
            "fax_number": "253-859-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 2ND AVE S STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325862",
            "telephone_number": "253-859-0300",
            "fax_number": "253-859-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEDLE",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHCA, CMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60693806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SCHNEIDER",
            "credential": "MA, LMHCA, CMHS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.