Individual provider Active NPI

Kimberly Susan Friedman, MA, CP, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1356418933
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00007525 Issued in WA
Practice address
1836 Westlake Ave N
Suite 203
Seattle, WA 98109-2755
Phone
(206) 372-0756
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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 LH00007525 WA Primary

Addresses

Primary practice location

1836 Westlake Ave N
Suite 203
Seattle, WA 98109-2755

Mailing address

1836 Westlake Ave N
Suite 203
Seattle, WA 98109-2755
Phone (206) 372-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 20, 2024 through May 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00007525WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1356418933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 WESTLAKE AVE N",
            "address_2": "SUITE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092755",
            "telephone_number": "206-372-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 WESTLAKE AVE N",
            "address_2": "SUITE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092755",
            "telephone_number": "206-372-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "KIMBERLY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MA, CP,  LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00007525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.