KIMBERLY BARRAGAN SUDPT
NPI 1891362018
Counselor in Shelton, WA

Q: What is Kimberly Barragan's NPI number?

The NPI number for Kimberly Barragan is 1891362018. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Q: What is Kimberly Barragan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Barragan was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 07, 2021

506 W FRANKLIN ST, SHELTON, WA 98584(360) 427-5232 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Feb 24, 2022, Jun 7, 2021 (3 updates tracked since 2021).

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About Kimberly Barragan Sudpt NPPES

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

KIMBERLY BARRAGAN SUDPT (NPI 1891362018) is an individual counselor in Shelton, Washington, licensed in Washington (CO61155500) and active in the NPI registry since June 2021. She maintains a secondary practice location in Chehalis.

NPPES Registry Identity

NPI1891362018

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKIMBERLY BARRAGANCredential: SUDPT

Location Address506 W FRANKLIN STShelton, WA 98584-3517

Mailing AddressPo Box 59Chehalis, WA 98532-0059 · (360) 740-4380 · Fax (360) 740-1877

Phone(360) 427-5232

Sole ProprietorNo

Enumeration DateJune 7, 2021

Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1891362018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · CO61155500

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO61155500 (WA)

506 W FRANKLIN ST, Shelton, WA 98584

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Secondary Practice Location 1

Location 11956 NE Kresky AveChehalis, WA 98532-2307 · Phone (360) 740-4380 · Fax (360) 740-1877

Other Identifiers 1

Medicaid2178866WA

Other Providers at the Same Location NPPES 12

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

JENNIFER VANDEGRAFT MS, LMHC

Counselor (Mental Health)