Active NPI
Lori Kimmerly, LMFT
- Marriage & Family Therapist
- Renton, WA
National Provider Identifier
1952559403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60172540
- Practice address
- 15 S Grady Way Ste 632
Renton, WA 98057-3218 - Phone
- (253) 347-2579
- Fax
- (253) 838-1439
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60172540 | WA | Primary |
Addresses
Primary practice location
15 S Grady Way Ste 632
Renton, WA 98057-3218
Mailing address
15 S Grady Way Ste 632
Renton, WA 98057-3218
Phone (253) 347-2579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LF60172540 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori Kimmerly Therapy and Coaching PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
33507 9th Ave S
Ste C3
Federal Way, WA 98003
15 S Grady Way
Ste 632
Renton, WA 98057
Phone (253) 347-2579
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.
-
- Marriage & Family Therapist
- Renton, WA
- NPI 1962863928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1952559403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S GRADY WAY STE 632",
"city": "RENTON",
"state": "WA",
"postal_code": "980573218",
"telephone_number": "253-347-2579",
"fax_number": "253-838-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S GRADY WAY STE 632",
"city": "RENTON",
"state": "WA",
"postal_code": "980573218",
"telephone_number": "253-347-2579",
"fax_number": "253-838-1439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMERLY",
"first_name": "LORI",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60172540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
- So Hee Kim, ARNP
- Susan Kim, PHARMD
- Tae Yong Kim, CHIROPRACTOR
- Kim's Chiropractic Clinic Inc (Best Spine Clinic)
- Caroline Wanjiku Kimani, PHARM.D
- John Gordon Kincaid, PT
- Thu Ha Kincaid, PTA
- Arica Kincheloe
- King and Mockovak Eye Center, Inc., P.S. (Clearly Lasik)
- King County Sexual Assault Resource Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.