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MS. KIMBERLY SAPHAIRE-DAWN WYATT AAC, BA
NPI 1194269019
Counselor in Mount Vernon, WA

Active since December 12, 2016
209 MILWAUKEE ST, MOUNT VERNON, WA 98273(360) 419-7574(360) 428-4354 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2020, Dec 12, 2016 (2 updates tracked since 2016).

About Ms. Kimberly Saphaire-dawn Wyatt Aac, Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY SAPHAIRE-DAWN WYATT AAC, BA (NPI 1194269019) is an individual counselor in Mount Vernon, Washington, licensed in Washington (CG 60687237) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1194269019
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. KIMBERLY SAPHAIRE-DAWN WYATTCredential: AAC, BA
Location Address209 MILWAUKEE STMount Vernon, WA 98273
Mailing Address209 Milwaukee StMount Vernon, WA 98273 · (360) 419-7574 · Fax (360) 428-4354
Phone(360) 419-7574
Fax(360) 428-4354
Sole ProprietorYes
Enumeration DateDecember 12, 2016
Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration
✔ NPI 1194269019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · CG 60687237
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
209 MILWAUKEE ST, Mount Vernon, WA 98273
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL SHAUN LASKO
Counselor
209 MILWAUKEE ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-3611
JEREMY TREMAINE BELL
Counselor (Mental Health)
209 MILWAUKEE ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-7581
LAUREN WILSON
Counselor
209 MILWAUKEE ST
MOUNT VERNON, WA 98273
Skagit County (425) 349-6200
MS. DIANA LYNN HARGROVE MSW
Counselor (Mental Health)
209 MILWAUKEE ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-7575
MS. CASSANDRA OLSEN
Social Worker
209 MILWAUKEE ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-7500
MRS. CATHLEEN NICOLE OMAN
Counselor
209 MILWAUKEE ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-7500
MS. ROSELETA JOHNS RN
Registered Nurse (Psychiatric/Mental Health)
209 MILWAUKEE ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-7578
MR. FRANCISCO OCAMPO JR.
Behavior Technician
209 MILWAUKEE ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Wyatt's NPI number?

The NPI number for Kimberly Wyatt is 1194269019. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Kimberly Wyatt located?

Kimberly Wyatt practices at 209 Milwaukee St, Mount Vernon, WA 98273. The listed phone number is (360) 419-7574.

What is Kimberly Wyatt's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Wyatt was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.