Kelly Gale Kimbel, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60206012 Issued in WA

Practice address

428 W Birch St Ste 11
Shelton, WA 98584-1700

Phone

(360) 229-3987

NPI assigned

Jul 19, 2011

Last updated

Jul 19, 2011By the provider in NPPES

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Pathways Mental Health ServicesGroup PAC ID 5496053803, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathways Mental Health Services

  • Mental Health Counselor
  • Olympia, WA
  • NPI 1306004775
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1578851911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 SE LYNCH RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848644",
            "telephone_number": "360-229-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W BIRCH ST STE 11",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985841700",
            "telephone_number": "360-229-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBEL",
        "first_name": "KELLY",
        "middle_name": "GALE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60206012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Jo Ketcher, DMD
• Ketchers' Dental PLLC (Shelton Dental Center)
• Jennifer Keyzers
• Anna Kiliona, L. AC.
• Franz M Kilmer-Shoultz
• Natalya Kinder, CDPT
• Tammy Kindle, CDPT
• Bradley John Kinney, M.D.
• Rayleen Denise Kirkland, PAC
• Elizabeth Klaniecki, RDH

• Mental Health Counselor in Shelton, WA
• Providers in Shelton, 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 Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.