KIMBERLEE LUNDGREN
NPI 1962938241
Counselor - Mental Health in Ridgefield, WA

Active since May 05, 2017PECOS Enrolled
PO BOX 272, RIDGEFIELD, WA 98642(360) 433-9664(360) 326-7224 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 24, 2025, Feb 20, 2025 (2 updates tracked since 2025).

About Kimberlee Lundgren NPPES

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

KIMBERLEE LUNDGREN (NPI 1962938241) is an individual mental health provider in Ridgefield, Washington and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1962938241
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLEE LUNDGREN
Location AddressPO BOX 272Ridgefield, WA 98642-0272
Mailing AddressPo Box 1845Vancouver, WA 98668-1845 · (360) 397-8484 · Fax (360) 397-8494
Fax(360) 326-7224
Sole ProprietorNo
Enumeration DateMay 5, 2017
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1962938241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
PO BOX 272, Ridgefield, WA 98642

Secondary Practice Locations 4

Location 1655 W Columbia Way Ste 400Vancouver, WA 98660-3613 · Phone (360) 433-9664
Location 216114 E Indiana Ave Ste 210Spokane Valley, WA 99216-1874 · Phone (360) 433-9664
Location 315609 SE Mill Plain BlvdVancouver, WA 98684-8952 · Phone (360) 433-9664
Location 413505 NE 10th AveVancouver, WA 98685-2711 · Phone (360) 433-9664

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberlee Lundgren is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberlee Lundgren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marriage & Family Therapist
13505 NE 10TH AVE
Vancouver, WA 98685
  • Reassigned Medicare billing, Washington enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
PO BOX 272
RIDGEFIELD, WA 98642

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 Kimberlee Lundgren's NPI number?

The NPI number for Kimberlee Lundgren is 1962938241. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Kimberlee Lundgren located?

Kimberlee Lundgren practices at PO Box 272, Ridgefield, WA 98642. The listed phone number is (360) 433-9664.

What is Kimberlee Lundgren's specialty?

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

Is Kimberlee Lundgren enrolled in Medicare?

Yes. Kimberlee Lundgren is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberlee Lundgren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlee Lundgren reassigns Medicare benefits to Refresh Therapy, Inc (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberlee Lundgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberlee Lundgren accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kimberlee Lundgren 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 Kimberlee Lundgren was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.