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MS. MERCEDES GOSNELL KIM CNA, SUDP-T
NPI 1396206025
Counselor - Addiction (Substance Use Disorder) in Renton, WA

Active since March 26, 2019
723 SW 10TH ST, RENTON, WA 98057(206) 461-6989 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mercedes Gosnell Kim Cna, Sudp-t NPPES

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

MS. MERCEDES GOSNELL KIM CNA, SUDP-T (NPI 1396206025) is an individual addiction (substance use disorder) provider in Renton, Washington, licensed in Washington (CO70089916) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1396206025
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MERCEDES GOSNELL KIMCredential: CNA, SUDP-T
Location Address723 SW 10TH STRenton, WA 98057-5223
Mailing Address425 W Stuart Rd Apt 217Bellingham, WA 98226-1238 · (360) 510-9855
Phone(206) 461-6989
Sole ProprietorNo
Enumeration DateMarch 26, 2019
Last NPPES UpdateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1396206025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO70089916
723 SW 10TH ST, Renton, WA 98057
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Other Providers at the Same Location NPPES 20

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

KENDRA NICOLE MULLIN
Technician, Health Information
723 SW 10TH ST
RENTON, WA 98057
King County (206) 887-5945
DAMARYS MACLARA CASTRO SUDPT
Counselor (Addiction (Substance Use Disorder))
723 SW 10TH ST
RENTON, WA 98057
King County (206) 461-4880
JENNIFER MARTINEZ-LORENZO
Student in an Organized Health Care Education/Training Program
723 SW 10TH ST
RENTON, WA 98057
King County (206) 461-4880
ALEXSANDRA GRUNDEN
Nurse Practitioner (Psychiatric/Mental Health)
723 SW 10TH ST
RENTON, WA 98057
King County (206) 461-4880
EDITH RUIZ
Interpreter
723 SW 10TH ST
RENTON, WA 98057
King County (206) 461-4880
MARIA FATIMA BETANCOURT SEMENKO
Counselor (Mental Health)
723 SW 10TH ST
RENTON, WA 98057
King County (206) 461-4880
NATALIE LOUISE TADEO NOEL
Student in an Organized Health Care Education/Training Program
723 SW 10TH ST
RENTON, WA 98057
King County (206) 461-4880
RONALD L BRAZG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
723 SW 10TH ST, STE 250
RENTON, WA 98057
King County (425) 656-4040

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 Mercedes Kim's NPI number?

The NPI number for Mercedes Kim is 1396206025. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Mercedes Kim located?

Mercedes Kim practices at 723 SW 10th St, Renton, WA 98057. The listed phone number is (206) 461-6989.

What is Mercedes Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mercedes Kim was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.