Graysen Keeley Kimball

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

313 Yelm Ave W
Yelm, WA 98597-8036

Phone

(360) 960-0441

NPI assigned

Aug 18, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Wentworth MFT PLLC

  • Mental Health Counselor
  • Yelm, WA
  • NPI 1518674993
  NPD
• Bina Souri MD PS

  • Obstetrics & Gynecology Physician
  • Olympia, WA
  • NPI 1962750588
  NPD (past)

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1427935147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10626 270TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388746",
            "telephone_number": "253-355-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 YELM AVE W",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978036",
            "telephone_number": "360-960-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "GRAYSEN",
        "middle_name": "KEELEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Kavanaugh, L.M.H.C.
• R. Marlin Kay, DDS
• Brian Keay, MD
• Courtney Bryann Keen
• Namsik Kim, LIC, ACU
• Joseph Brandon Kimmel, LICENSED DENTURIST
• Grace King
• Kari Ann Koos, DPT
• Daniel W Kowals, MD
• Isabelle Sofia Kramer, LMT

• Mental Health Counselor in Yelm, WA
• Providers in Yelm, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.