MS. KIMMY JO LAKE CDP
NPI 1629414917
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA
NPI Status: Active since May 14, 2013
Contact Information
758 ST HELENS AVE
TACOMA, WA
ZIP 98402
Phone: (253) 274-0484
Fax: (253) 274-1457
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
About KIMMY LAKE
Kimmy Lake is a provider established in Tacoma, Washington and her medical specialization is Counselor with a focus in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1629414917 assigned on May 2013. The practitioner's primary taxonomy code is 101YA0400X with license number CP60311481 (WA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1629414917
- Provider Name
- MS. KIMMY JO LAKE CDP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 758 ST HELENS AVE TACOMA, WA 98402
- Location Phone
- (253) 274-0484
- Location Fax
- (253) 274-1457
- Mailing Address
- 758 ST HELENS AVE TACOMA, WA 98402
- Mailing Phone
- (253) 274-0484
- Mailing Fax
- (253) 274-1457
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-14-2013
- Last Update Date
- 05-14-2013
- Code Navigator
A Substance Abuse or Addiction Counselor like Kimmy Lake advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- CP60311481
- License State
- WA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1003939034 | MEDICAID (05) | WA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 4 | 1 | 4 | 9 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 8 | 1 | 8 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 8 + 1 + 8 + 9 + 2 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1629414917 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043420318 | MRS. ELLEN JANELL GILBO M.S. C.C., CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1073959367 | MS. PAT A AYERS CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1528475126 | SHERRONDA JAMERSON MHCA, CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1023479532 | LORISSA CLOUD C.D.P. Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1588025183 | MATTHEW CRUVANT MA, LMHC Individual | Counselor (Mental Health) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1174984694 | LINDY ARMAND CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1447788526 | MAYRA GONZALEZ CDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1245768308 | DOMINIQUE FORTSON-JORDAN CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1235641069 | MARELISE BOLDEN CDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1043709918 | STEVEN BUTTRAM CO60766716 Individual | Counselor | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1427540640 | STEPHANIE LYNN LINKE BA, CDP. Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1740772607 | MR. SAM EARL HOUX CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1831674928 | SARAH M BUBAN LMHCA, MHP, CDPT Individual | Counselor (Mental Health) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
| 1710455829 | JEREMY JOHANSEN CDP-T Individual | Counselor (Addiction (Substance Use Disorder)) | 758 ST HELENS AVE TACOMA, WA 98402 (253) 274-0484 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629414917, enumerated in the NPI registry as an "individual" on May 14, 2013
The provider is located at 758 St Helens Ave Tacoma, Wa 98402 and the phone number is (253) 274-0484
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 14, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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