Kimberly De'Shaun Washington

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

94271 Issued in TX

Practice address

334 Lakeview Dr
Angleton, TX 77515

Phone

(281) 968-5868

NPI assigned

Feb 23, 2024

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

State licenses

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1447016811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23310 ZINFANDEL DR",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112212",
            "telephone_number": "601-334-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 LAKEVIEW DR",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "77515",
            "telephone_number": "281-968-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KIMBERLY",
        "middle_name": "DE'SHAUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "94271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lien Vu, OD
• Jerica A Wagner
• Wal-Mart Stores Texas LLC
• Walgreen Co
• Michael Allen Washburn Jr., MA, BS, CSCS
• Regina Marie Washington, FNP- BC
• Ujjwala Wattal
• Rebecca Wedin, EIS
• Tina M Weible, RN, BSN
• Jennifer Jeanette Wells

• Mental Health Counselor in Angleton, TX
• Providers in Angleton, 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 Feb 23, 2024; 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.