KIMBERLY PETERSEN


Address: 3400 Harbor Ave Sw Ste 316, Seattle, WA 98126-2394
Phone: 2069130369

KIMBERLY PETERSEN (NPI# 1114258332) 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) 1114258332
Entity Type Individual
Full Name KIMBERLY PETERSEN
Credential MA, LMHC
Practice Address 3400 Harbor Ave Sw Ste 316
Seattle
WA 98126-2394
Mailing Address 3400 Harbor Ave Sw
Box 117
Seattle
WA 98126-2395
Practice Telephone 2069130369
Mailing Telephone 2069130369
Enumeration Date 2010-01-28
Last Update Date 2010-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LH 00008610 WA Behavioral Health & Social Service Providers

Other Providers KIMBERLY PETERSEN

NPI Name Taxonomy Address Enumeration
1225357262 Kimberly Petersen Respiratory Therapist, Certified 10180 Se Sunnyside Road, Clackamas, OR 97015 2010-05-28
1831334366 Kimberly A Petersen Nurse Anesthetist, Certified Registered 460 Lanier Rd, Madison, AL 35758-2631 2008-12-12
1043247877 Kimberly Petersen Family Medicine 2810 Nicollet Ave, Minneapolis, MN 55408-4708 2006-06-27

Office Location

Street Address 3400 HARBOR AVE SW STE 316
City SEATTLE
State WA
Zip Code 98126-2394

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750926341 Andre L Cherry Counselor Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 2019-11-07
1477071314 Hailey Justine Long Registered Nurse 5444 29th Ave Sw, Seattle, WA 98126 2017-08-30
1952824153 Margaret Jane Oliver Behavior Technician 7942 29th Ave Sw, Seattle, WA 98126 2017-07-19
1538610282 Kathleen Unterreiner Licsw Community/Behavioral Health 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 2016-10-18
1689123507 Omotade Adeola Mallum Occupational Therapy Assistant 9408 35th Ave Sw, Unit B, Seattle, WA 98126 2016-10-04
1598211732 Christopher Shawn Osler Physical Therapy Assistant 7346 32nd Ave Sw, Seattle, WA 98126 2016-08-28
1871989368 Sara Lynne Smith Counselor 5225 35th Avenue South West, Seattle, WA 98126 2015-04-10
1689083032 Kristine Ellyn Highlander Nurse Practitioner 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 2014-08-11
1346657814 Buu Bui Family Medicine 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 2014-07-16
1598015950 Kimberly Pendergrass Social Worker 2600 S. W. Holden Street, Seattle, WA 98126 2012-09-13
Find all providers in zip 98126

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
1902407745 Julie Mcgowan Counselor 9222 12th Ave Sw, Seattle, WA 98106-2908 2020-11-06
1043811292 Satya Wellness Collective, LLC Counselor 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 2020-11-04
1366043960 Nidhi Amy Rastogi Counselor 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 2020-11-02
1124628797 Krista P Marceron Counselor 1421 34th Ave Ste 207, Seattle, WA 98122-3634 2020-10-31
1326648064 Taylor Ferry Counselor 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 2020-10-30
1710587969 Brenton Brooks Page Jr. Counselor 819 N 49th St Ste 303, Seattle, WA 98103-6577 2020-10-27
1215536719 Jessica Aarsvold Counselor 1 Ward St Unit 5, Seattle, WA 98109-3627 2020-10-26
1972102911 Philip H Benjamin Counselor Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 2020-10-21
1588263834 Laura Gardener Counselor 216 25th Ave, Seattle, WA 98122-6104 2020-10-19
1265031512 Mykel Ziolo Counselor 11700 Evanston Ave N, Seattle, WA 98133-8225 2020-10-19
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Competitor

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City SEATTLE
Zip Code 98126

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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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