KIMBERLEY LOUISE GRUENING MCNICKLE (NPI# 1295073039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295073039 |
| Entity Type | Individual |
| Full Name | KIMBERLEY LOUISE GRUENING MCNICKLE |
| Credential | LMHC |
| Practice Address |
6512 20th Street Ct W Suite B Fircrest WA 98466-6212 |
| Practice Telephone | 2535665559 |
| Practice Fax Number | 2535650274 |
| Mailing Telephone | 2535665559 |
| Mailing Fax Number | 2535650274 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00006744 | WA | Behavioral Health & Social Service Providers |
| Street Address |
6512 20TH STREET CT W SUITE B |
| City | FIRCREST |
| State | WA |
| Zip Code | 98466-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612279 | Silvia Tina Fradkin | Nurse Practitioner | 6512 20th Street Ct W, Suite C, Fircrest, WA 98466-6212 | 2005-07-12 |
| 1437506706 | Tracey Grady | Counselor | 6512 20th Street Ct W, Suite B, Fircrest, WA 98466-6212 | 2016-05-17 |
| 1447610274 | Kelly Ebels | Counselor | 6512 20th Street Ct W, Suite B, Fircrest, WA 98466-6212 | 2016-03-07 |
| 1528306057 | Family Foundations Counseling | Marriage & Family Therapist | 6512 20th Street Ct W, Ste. B, Fircrest, WA 98466-6212 | 2013-01-17 |
| 1902910102 | Lawrence V. Majovski | Psychologist | 6512 20th Street Ct W, Suite C, Fircrest, WA 98466-6212 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073024394 | Tamara Leigh Taylor | Counselor | 6512 20th Street Ct W Ste B, Fircrest, WA 98466-6212 | 2017-10-13 |
| 1952724478 | Ashley Smith | Counselor | 6512 20th Street Ct W Ste B1, Fircrest, WA 98466-6212 | 2014-02-04 |
| 1114535085 | Tessa Joy Sands | Counselor | 2002 65th Ave W, Fircrest, WA 98466-6200 | 2020-07-16 |
| 1992294201 | Aaron Thomas Pascoe | Counselor | 6512 20th Street Ct W Ste B2, Fircrest, WA 98466-6212 | 2018-05-02 |
| 1083151393 | Kristy Schermerhorn LLC | Counselor | 6512 20th Street Ct W Ste B2, Fircrest, WA 98466-6212 | 2017-01-24 |
| 1598200792 | Audrey Hockman | Counselor | 2002 65th Ave W, Fircrest, WA 98466-6200 | 2016-12-23 |
| 1437506706 | Tracey Grady | Counselor | 6512 20th Street Ct W, Suite B, Fircrest, WA 98466-6212 | 2016-05-17 |
| 1447610274 | Kelly Ebels | Counselor | 6512 20th Street Ct W, Suite B, Fircrest, WA 98466-6212 | 2016-03-07 |
| 1740539675 | Jennifer Marie Evinger | Counselor | 1019 Regents Blvd Ste 102, Fircrest, WA 98466-6037 | 2012-09-06 |
| 1629338876 | Leila N Miller | Counselor | 1019 Regents Blvd Ste 102, Fircrest, WA 98466-6037 | 2012-05-22 |
| Find all providers in FIRCREST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.