KIMBERLY J HENDERSON MA, LMHC
NPI 1619085222
Counselor - Mental Health in Olympia, WA

NPI Status: Active since August 25, 2006

Contact Information

222 KENYON ST NW
SUITE 10
OLYMPIA, WA
ZIP 98502
Phone: (360) 704-8298
Fax: (360) 866-0770

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Opted-Out Medicare

About KIMBERLY HENDERSON

This page provides the complete NPI Profile along with additional information for Kimberly Henderson, a provider established in Olympia, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1619085222 assigned on August 2006. The practitioner's primary taxonomy code is 101YM0800X with license number LH00009495 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1619085222
Provider Name
KIMBERLY J HENDERSON MA, LMHC
Gender
Female
Entity Type
Individual
Location Address
222 KENYON ST NW SUITE 10 OLYMPIA, WA 98502
Location Phone
(360) 704-8298
Location Fax
(360) 866-0770
Mailing Address
1322 MIRADA DR NW OLYMPIA, WA 98502
Mailing Phone
(360) 704-8298
Mailing Fax
(360) 866-0770
Is Sole Proprietor?
No
Enumeration Date
08-25-2006
Last Update Date
07-08-2007
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A mental health counselor like Kimberly Henderson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberly Henderson opted out of Medicare effective on 08-26-2024 until 08-26-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
LH00009495
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:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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
1981125MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-26-2024

  • Opt-Out End Date: 08-26-2026

  • Eligible to Order and Refer? No

Reviews for KIMBERLY J HENDERSON MA, LMHC

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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.
1619085222
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629081024
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 0 + 8 + 1 + 0 + 2 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1619085222 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003960162MS. ROBIN DIANNE STIRITZ L.AC.
Individual
Acupuncturist222 KENYON ST NW SUITE 4
OLYMPIA, WA 98502
(360) 352-1868
1285774356 ROBIN ADALINA LANDSONG L.M.P.
Individual
Specialist222 KENYON ST NW SUITE 3
OLYMPIA, WA 98502
(360) 352-4177
1083754311 KATHLEEN C PRUITT MSW, LMHC
Individual
Counselor (Mental Health)222 KENYON ST NW SUITE 7
OLYMPIA, WA 98502
(360) 709-9700
1235266420 CINDY LEAH GRIFFITH LMP
Individual
Specialist222 KENYON ST NW SUITE 2
OLYMPIA, WA 98502
(360) 480-0545
1558492116MR. BRAD MCCOY THOMPSON L.AC.
Individual
Acupuncturist222 KENYON ST NW SUITE 19
OLYMPIA, WA 98502
(360) 786-6977
1134246614MS. CATHERINE ELIZABETH AMOS LMHC
Individual
Counselor (Mental Health)222 KENYON ST NW SUITE 7
OLYMPIA, WA 98502
(360) 357-4579
1710192380MRS. AMY ELISE HARROUN LMP
Individual
Massage Therapist222 KENYON ST NW SUITE 1
OLYMPIA, WA 98502
(360) 790-6445
1881831022MRS. FAYE A. GATTERMAN LMP
Individual
Specialist222 KENYON ST NW
OLYMPIA, WA 98502
(360) 870-3150
1760790687MS. CINDY LEVY M.A.
Individual
Counselor (Mental Health)222 KENYON ST NW SUITE 14
OLYMPIA, WA 98502
(360) 888-6630
1609178003 SUSAN CATHERINE MONACO L.AC.
Individual
Acupuncturist222 KENYON ST NW STE 9
OLYMPIA, WA 98502
(360) 943-5570
1336425693 KATHERINE DUDLEY AC60148313
Individual
Acupuncturist222 KENYON ST NW #2
OLYMPIA, WA 98502
(941) 726-8491
1326392887MS. SHERRY LYNN REGISTER LMP
Individual
Massage Therapist222 KENYON ST NW SUITE 13
OLYMPIA, WA 98502
(360) 545-3517
1578857439 JANICE LYNN KLINSKI L.M.P.
Individual
Massage Therapist222 KENYON ST NW SUITE 7
OLYMPIA, WA 98502
(360) 250-8568
1073055935 CHRISTINA ALLEN
Individual
Specialist222 KENYON ST NW
OLYMPIA, WA 98502
(707) 267-8945
1710138128MS. ANNA MAE SPROLES LMP
Individual
Massage Therapist222 KENYON ST NW SUITE NUMBER 10
OLYMPIA, WA 98502
(360) 710-5947
1245707660I'MPOWERED NUTRITION & FITNESS, LLC
Organization
Dietitian, Registered222 KENYON ST NW SUITE 1
OLYMPIA, WA 98502
(360) 358-3179
1336876747DONNA ELAM PLLC
Organization
Physician Assistant222 KENYON ST NW
OLYMPIA, WA 98502
(313) 719-1877
1629340989 GENNA BRODSKY CHASE LICSW
Individual
Social Worker (Clinical)222 KENYON ST NW SUITE #1
OLYMPIA, WA 98502
(925) 338-9817

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619085222, enumerated in the NPI registry as an "individual" on August 25, 2006

The provider is located at 222 Kenyon St Nw Suite 10 Olympia, Wa 98502 and the phone number is (360) 704-8298

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

No, the provider signed an affidavit on August 26, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 26, 2026.

This NPI record was last updated on August 25, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.