Individual provider Active NPI

Oksana P Kimpel, MA, CDP, NCAC I

  • Addiction (Substance Use Disorder) Counselor
  • Kent, WA
National Provider Identifier
1821403015
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60334884 Issued in WA
Practice address
19435 68TH Ave S
S-109
Kent, WA 98032-2102
Phone
(425) 251-1933
Fax
(425) 251-4996
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60334884 WA Primary

Addresses

Primary practice location

19435 68TH Ave S
S-109
Kent, WA 98032-2102

Mailing address

19435 68TH Ave S
S-109
Kent, WA 98032-2102
Phone (425) 251-1933

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP60334884WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Counseling, Inc Addiction (Substance Use Disorder) Current Accepting new patients

Locations

19435 68th Ave S
Ste S109
Kent, WA 98032
Phone (425) 251-1933

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1821403015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19435 68TH AVE S",
            "address_2": "S-109",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322102",
            "telephone_number": "425-251-1933",
            "fax_number": "425-251-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19435 68TH AVE S",
            "address_2": "S-109",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322102",
            "telephone_number": "425-251-1933",
            "fax_number": "425-251-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPEL",
        "first_name": "OKSANA",
        "middle_name": "P",
        "credential": "MA, CDP, NCAC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60334884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.