Individual provider Active NPI

Christy Lee Kimpo, PHD, LMHC

  • Mental Health Counselor
  • Normandy Park, WA
National Provider Identifier
1699027573
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60104057 Issued in WA
Practice address
17808 2ND Ave SW
Normandy Park, WA 98166-3706
Phone
(206) 948-2333
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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 LH 60104057 WA Primary

Addresses

Primary practice location

17808 2ND Ave SW
Normandy Park, WA 98166-3706

Mailing address

17808 2ND Ave SW
Normandy Park, WA 98166-3706
Phone (206) 948-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH 60104057WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1699027573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17808 2ND AVE SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981663706",
            "telephone_number": "206-948-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17808 2ND AVE SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981663706",
            "telephone_number": "206-948-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPO",
        "first_name": "CHRISTY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60104057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.