Individual provider Active NPI

Kimberly K. Eames, MFTA

  • Marriage & Family Therapist
  • Federal Way, WA
National Provider Identifier
1831685288
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61227189 Issued in WA
Practice address
31919 1St Ave S Ste 208
Federal Way, WA 98003-5236
Phone
(206) 459-7994
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG61227189 WA Primary

Addresses

Primary practice location

31919 1St Ave S Ste 208
Federal Way, WA 98003-5236

Mailing address

31919 1St Ave S Ste 208
Federal Way, WA 98003-5236
Phone (206) 459-7994

Other identifiers 1

IdentifierTypeStateIssuer
MG61227189OtherWAWASHINGTON DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MG61227189WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Marriage & Family Therapy Associates PastSince Dec 1, 2019 Accepting new patients
Alaska Marriage & Family Therapy Associates LLC PastSince Dec 18, 2022 Accepting new patients

Organizations & group practices 2

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1831685288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31919 1ST AVE S STE 208",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035236",
            "telephone_number": "206-459-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31919 1ST AVE S STE 208",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035236",
            "telephone_number": "206-459-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAMES",
        "first_name": "KIMBERLY",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "MFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61227189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "MG61227189",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.