KIMBERLY J HENDERSON MA, LMHC
NPI 1619085222
Counselor - Mental Health in Olympia, WA

Active since August 25, 2006Opted out of Medicare · through Aug 26, 2026
222 KENYON ST NW, SUITE 10, OLYMPIA, WA 98502(360) 704-8298(360) 866-0770 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly J Henderson Ma, Lmhc NPPES

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

KIMBERLY J HENDERSON MA, LMHC (NPI 1619085222) is an individual mental health provider in Olympia, Washington, licensed in Washington (LH00009495) and active in the NPI registry since August 2006. She has opted out of Medicare through August 26, 2026.

NPPES Registry Identity

NPI1619085222
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY J HENDERSONCredential: MA, LMHC
Location Address222 KENYON ST NW, SUITE 10Olympia, WA 98502-4553
Mailing Address1322 Mirada Dr NwOlympia, WA 98502-4099 · (360) 704-8298 · Fax (360) 866-0770
Fax(360) 866-0770
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619085222 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 · LH00009495
222 KENYON ST NW, Olympia, WA 98502

Other Identifiers 1

Medicaid1981125WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kimberly J Henderson Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2024 through August 26, 2026.

Opt-Out Effective DateAugust 26, 2024
Opt-Out In Effect ThroughAugust 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

Acupuncturist
222 KENYON ST NW, SUITE 4
OLYMPIA, WA 98502
Specialist
222 KENYON ST NW
OLYMPIA, WA 98502
Counselor (Mental Health)
222 KENYON ST NW, SUITE 7
OLYMPIA, WA 98502
Counselor (Mental Health)
222 KENYON ST NW, SUITE 7
OLYMPIA, WA 98502
Specialist
222 KENYON ST NW, SUITE 2
OLYMPIA, WA 98502
Dietitian, Registered
222 KENYON ST NW, SUITE 1
OLYMPIA, WA 98502
Specialist
222 KENYON ST NW, SUITE 3
OLYMPIA, WA 98502
Massage Therapist
222 KENYON ST NW, SUITE 13
OLYMPIA, WA 98502

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 Henderson's NPI number?

The NPI number for Kimberly Henderson is 1619085222. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Kimberly Henderson located?

Kimberly Henderson practices at 222 Kenyon St NW Suite 10, Olympia, WA 98502. The listed phone number is (360) 704-8298.

What is Kimberly Henderson's specialty?

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

Is Kimberly Henderson enrolled in Medicare?

No. Kimberly Henderson has opted out of Medicare through August 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Henderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.