Michele Elaine Kimble, M.ED.,LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00005349 Issued in WA

Practice address

17713 95TH LN SW
Vashon, WA 98070-4985

Phone

(206) 567-0076

NPI assigned

Feb 7, 2012

Last updated

Aug 12, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1821360793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1882",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980701882",
            "telephone_number": "206-567-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17713 95TH LN SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704985",
            "telephone_number": "206-567-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "MICHELE",
        "middle_name": "ELAINE",
        "credential": "M.ED.,LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "00005349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin C Nelson Lac Inc (Becalm)
• Alyce Kellogg, LMT
• Jessica Alice Kennan
• Christopher Kahn Khongkhangam Davila, PHARMD
• Whitney B Kimball
• Linda Lori Kimmel, LMT
• Jan Michelle Kittleson, OTR
• Marilyn Kleyn
• Rebecca L Kloberdanz, OTR/L
• Olivia Kogan, MS

• Mental Health Counselor in Vashon, WA
• Providers in Vashon, 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 12, 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.