MS. KIMBERLY SAPHAIRE-DAWN WYATT AAC, BA
NPI 1194269019
Counselor in Mount Vernon, WA

NPI Status: Active since December 12, 2016

Contact Information

209 MILWAUKEE ST
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 419-7574
Fax: (360) 428-4354

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  • Individual
  • Female
  • Counselor

About KIMBERLY WYATT

This page provides the complete NPI Profile along with additional information for Kimberly Wyatt, a provider established in Mount Vernon, Washington with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1194269019 assigned on December 2016. The practitioner's primary taxonomy code is 101Y00000X with license number CG 60687237 (WA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1194269019
Provider Name
MS. KIMBERLY SAPHAIRE-DAWN WYATT AAC, BA
Gender
Female
Entity Type
Individual
Location Address
209 MILWAUKEE ST MOUNT VERNON, WA 98273
Location Phone
(360) 419-7574
Location Fax
(360) 428-4354
Mailing Address
209 MILWAUKEE ST MOUNT VERNON, WA 98273
Mailing Phone
(360) 419-7574
Mailing Fax
(360) 428-4354
Is Sole Proprietor?
Yes
Enumeration Date
12-12-2016
Last Update Date
02-28-2020
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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
CG 60687237
License State
WA
Taxonomy Description
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.

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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.
1194269019
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184461802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 4 + 6 + 1 + 8 + 0 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1194269019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366781833MS. CHRISTINE HUBERT DISPAS M.A
Individual
Counselor209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7572
1679812820 KATHLEEN MARIE KONOPIK PEER COUNSELOR
Individual
Counselor (Mental Health)209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-3611
1114266111MR. MICHAEL SHAUN LASKO
Individual
Counselor209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-3611
1801225586 KATHLEEN HYRE
Individual
Counselor (Mental Health)209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7575
1306267695MS. ROSELETA JOHNS RN
Individual
Registered Nurse (Psychiatric/Mental Health)209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7578
1194124255MS. DIANA LYNN HARGROVE MSW
Individual
Counselor (Mental Health)209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7575
1225425788MS. CASSANDRA OLSEN
Individual
Social Worker209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7500
1275904906MRS. CATHLEEN NICOLE OMAN
Individual
Counselor209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7500
1063868347 BRIAN FRANCIS
Individual
Registered Nurse209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(425) 349-6200
1134665284 LAUREN WILSON
Individual
Counselor209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(425) 349-6200
1629509831 DARYL ELLINGTON-HORNE
Individual
Counselor (Mental Health)209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-3500
1316447691 DEBRA LOUISE FULLER MS
Individual
Counselor (Mental Health)209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7575
1306405485MR. FRANCISCO OCAMPO JR.
Individual
Behavior Technician209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-3500
1134559586 JEREMY TREMAINE BELL
Individual
Counselor (Mental Health)209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7581
1457692634 ROCHELLE RICKMAN PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)209 MILWAUKEE ST
MOUNT VERNON, WA 98273
(360) 419-7575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194269019, enumerated in the NPI registry as an "individual" on December 12, 2016

The provider is located at 209 Milwaukee St Mount Vernon, Wa 98273 and the phone number is (360) 419-7574

The provider's speciality is Counselor with taxonomy code 101Y00000X

This NPI record was last updated on December 12, 2016. 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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