LORI KIMMERLY LMFT
NPI 1952559403
Marriage & Family Therapist in Renton, WA

Active since September 08, 2008Opted out of Medicare · through Jan 1, 2028
15 S GRADY WAY STE 632, RENTON, WA 98057(253) 347-2579(253) 838-1439 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2026, Jun 1, 2020 (2 updates tracked since 2020).

About Lori Kimmerly Lmft NPPES

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

LORI KIMMERLY LMFT (NPI 1952559403) is an individual marriage & family therapist in Renton, Washington, licensed in Washington (LF60172540) and active in the NPI registry since September 2008. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1952559403
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLORI KIMMERLYCredential: LMFT
Location Address15 S GRADY WAY STE 632Renton, WA 98057-3218
Mailing Address15 S Grady Way Ste 632Renton, WA 98057-3218 · (253) 347-2579 · Fax (253) 838-1439
Fax(253) 838-1439
Sole ProprietorYes
Enumeration DateSeptember 8, 2008
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1952559403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in WA · LF60172540
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
15 S GRADY WAY STE 632, Renton, WA 98057

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lori Kimmerly Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Marriage & Family Therapist
15 S GRADY WAY STE 632
RENTON, WA 98057
Marriage & Family Therapist
15 S GRADY WAY STE 632
RENTON, WA 98057
Counselor (Mental Health)
15 S GRADY WAY STE 632
RENTON, WA 98057
Marriage & Family Therapist
15 S GRADY WAY STE 632
RENTON, WA 98057
Marriage & Family Therapist
15 S GRADY WAY STE 632
RENTON, WA 98057
Marriage & Family Therapist
15 S GRADY WAY STE 632
RENTON, WA 98057

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 Lori Kimmerly's NPI number?

The NPI number for Lori Kimmerly is 1952559403. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Where is Lori Kimmerly located?

Lori Kimmerly practices at 15 S Grady Way Ste 632, Renton, WA 98057. The listed phone number is (253) 347-2579.

What is Lori Kimmerly's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Lori Kimmerly enrolled in Medicare?

No. Lori Kimmerly has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lori Kimmerly accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Lori Kimmerly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lori Kimmerly was last updated on April 2, 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.