KIMBERLY MICHELLE VAN DE WATER


Address: 1424 Ne 155th St Ste 203, Shoreline, WA 98155-7104
Phone: 2069534949

KIMBERLY MICHELLE VAN DE WATER (NPI# 1396272563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396272563
Entity Type Individual
Full Name KIMBERLY MICHELLE VAN DE WATER
Credential LMHCA
Practice Address 1424 Ne 155th St Ste 203
Shoreline
WA 98155-7104
Practice Telephone 2069534949
Enumeration Date 2017-05-17
Last Update Date 2017-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1424 NE 155TH ST STE 203
City SHORELINE
State WA
Zip Code 98155-7104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922575703 Dale Worrell Counselor Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 2018-10-30
1770060568 Jason Freed Occupational Therapist 1250 Ne 145th St., Shoreline, WA 98155 2018-07-24
1497208771 Mirit Markowitz Counselor 14803 15 Ave Ne, Seattle, WA 98155 2016-08-03
1003207788 Jessica Hinckley Counselor 17018 15tth Ave Ne, Shoreline, WA 98155 2015-02-17
1407119001 Erika Tydor Optometrist 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 2012-06-19
1891075917 Kieran Joseph Mcmanimon Massage Therapist 18724 35th Ave Ne, Lake Forest Park, WA 98155 2011-08-20
1376841270 Kym Kolb Massage Therapist 17908 15th Ave Ne, Shoreline, WA 98155 2011-03-02
1205069333 Acclaim Body Care, LLC Massage Therapist 17517 15th Ave., Suite B, Shoreline, WA 98155 2009-08-24
1881834570 Jason Sailesh Dave Naturopath 2871 University St, Seattle, WA 98155 2009-02-20
1396918975 Ashleigh Veronique Schultz Counselor 216 Ne 175th Street, Shoreline, WA 98155 2008-04-04
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295369148 Randi Pedigo Counselor 1516 N 155th St, Shoreline, WA 98133-6002 2020-03-01
1295204287 David Ketola Counselor 1539 Ne 177th St Ste B, Shoreline, WA 98155-5279 2018-11-19
1922575703 Dale Worrell Counselor Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 2018-10-30
1679069264 Shobana Nuland Counselor 134 Nw 183rd St, Shoreline, WA 98177-3440 2018-07-06
1053806646 Samantha Supit Counselor 1314 N 152nd St Apt F, Shoreline, WA 98133-6283 2018-06-26
1821501081 John Martin Ramsdell Counselor 731 N 148th St, Shoreline, WA 98133-6506 2017-11-09
1063921120 Genevieve Louise Becker Counselor 132 Nw 195th St, Shoreline, WA 98177 2017-09-21
1952774671 Jason Apple Counselor 20103 20th Ave Nw, Shoreline, WA 98177-2221 2015-11-03
1477965572 Eliza Christine Baughn Counselor 16849 Palatine Ave N, Shoreline, WA 98133-5252 2014-05-22
1700209921 Ann Elizabeth Gonzalez Counselor 17962 Midvale Ave. N, #223, Shoreline, WA 98133 2014-01-23
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Competitor

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City SHORELINE
Zip Code 98155

Improve Information

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Dataset Information

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.

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