KIMBERLY MICHELLE SANBORN LMHCA
NPI 1396272563
Counselor - Mental Health in Lacey, WA

Active since May 17, 2017
4109 INGLESIDE LOOP SE, LACEY, WA 98503(530) 604-7193 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 27, 2025, Jul 1, 2017, May 17, 2017 (3 updates tracked since 2017).

About Kimberly Michelle Sanborn Lmhca NPPES

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

KIMBERLY MICHELLE SANBORN LMHCA (NPI 1396272563) is an individual mental health provider in Lacey, Washington, licensed in Washington (MC60785788) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1396272563
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY MICHELLE SANBORNCredential: LMHCA
Location Address4109 INGLESIDE LOOP SELacey, WA 98503-2107
Mailing Address4109 Ingleside Loop SeLacey, WA 98503-2107 · (530) 604-7193
Sole ProprietorYes
Enumeration DateMay 17, 2017
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1396272563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · MC60785788
4109 INGLESIDE LOOP SE, Lacey, WA 98503

Other Names 1

Former Name (1)Kimberly Michelle Van De Water Lmhca

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 Sanborn's NPI number?

The NPI number for Kimberly Sanborn is 1396272563. It was assigned to this individual provider in the NPPES registry on May 17, 2017. The provider is also known as Kimberly Michelle Van De Water Lmhca.

Where is Kimberly Sanborn located?

Kimberly Sanborn practices at 4109 Ingleside Loop SE, Lacey, WA 98503. The listed phone number is (530) 604-7193.

What is Kimberly Sanborn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Sanborn was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.