Individual provider Active NPI

Lori Kimmerly, LMFT

  • Marriage & Family Therapist
  • Renton, WA
National Provider Identifier
1952559403
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60172540 Issued in WA
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

Updated by the provider on Apr 2, 2026

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 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

LicenseStateTypeSpecialty
LF60172540WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.