Kimberly Clark-Washington, MED., L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19913 Issued in TX

Practice address

9115 Newburgh Drive
Houston, TX 77095

Phone

(281) 734-5969

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kimberly Washington Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1326269481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 NEWBURGH DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095",
            "telephone_number": "281-734-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 NEWBURGH DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095",
            "telephone_number": "281-734-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-WASHINGTON",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MED., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178888702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1788887",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "7254LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WASHINGTON",
            "credential": "M.ED., L.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clarity Neurology and Psychiatry, PLLC
• Clark Care LLC
• Clark Healthcare Services LLC
• Allen Clark IV
• Allison Clark, PHD
• Andrea Clark
• Angel Marie Clark, LPC
• Anna Laura Chae Clark, MSN

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.