Kimberly Chin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61441930 Issued in WA

Practice address

2345 N 133Rd St
Seattle, WA 98133-7809

Phone

(206) 984-2323

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1619566601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 NE 65TH ST # 81735",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156655",
            "telephone_number": "206-984-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 N 133RD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337809",
            "telephone_number": "206-984-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "KIMBERLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61110375",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61441930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly@kaleidoscopetherapist.com",
            "affiliation": "N",
            "address_1": "5806 Roosevelt Way NE Unit A",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981052765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenesa Monteya Chin, ARNP, DNP
• Jennifer Chin
• Jessie N Chin, DO
• Kenneth Moy Chin, M.D.
• Kimberly Chin, RN
• Kimberly Chin, R.N.
• Lund W Chin, O.D.
• Maia R Chin
• Matthew M Chin, PHARM D
• Mindy Chin, CRNA

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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, 2023; 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.