Individual provider Active NPI

Kimberly Heather Washington, MA, LPC

  • Mental Health Counselor
  • Mukwonago, WI
National Provider Identifier
1871084012
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7606-125 Issued in WI
Practice address
1231 S Rochester St Ste 260a
Mukwonago, WI 53149-9031
Phone
(262) 374-4150
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7606-125 WI Primary
Professional Counselor 101YP2500X 7606-125 WI

Addresses

Primary practice location

1231 S Rochester St Ste 260a
Mukwonago, WI 53149-9031

Mailing address

1231 S Rochester St Ste 260a
Mukwonago, WI 53149-9031
Phone (262) 374-4150

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
7606-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moodology Psych Hub, LLC Mental Health CurrentSince Jun 16, 2024 Accepting new patients

Locations

1231 S Rochester St
Ste 260A
Mukwonago, WI 53149
Phone (262) 374-4150

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1871084012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 S ROCHESTER ST STE 260A",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499031",
            "telephone_number": "262-374-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 S ROCHESTER ST STE 260A",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499031",
            "telephone_number": "262-374-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KIMBERLY",
        "middle_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7606-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7606-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.