Kimberly Barragan, SUDPT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CO61155500 Issued in WA

Practice address

506 W Franklin St
Shelton, WA 98584-3517

Phone

(360) 427-5232

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Directions Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
  • NPI 1083825764
  NPD
• New Directions Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chehalis, WA
  • NPI 1356551717
  NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1891362018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320059",
            "telephone_number": "360-740-4380",
            "fax_number": "360-740-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W FRANKLIN ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843517",
            "telephone_number": "360-427-5232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1956 NE Kresky Ave",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985322307",
            "country_code": "US",
            "telephone_number": "360-740-4380",
            "fax_number": "360-740-1877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "KIMBERLY",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61155500",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CO61155500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2178866",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annalise Barkman
• Michael Dana Barnard, M.D.
• Ashlee M Barnes
• Tawnee Marie Barnes, SUDPT
• Ilyssa Martin Barr, MA, LMHCA, MHP
• Charles Tiffany Barret, P.A.-C.
• Sara Barrow, PHARMD, RPH
• John Charles Barton, AAC
• Rebecca M Baughman
• Behavioral Health Resources

• Counselor in Shelton, WA
• Providers in Shelton, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.