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Cristen S Kimball , QMHA

Counselor β€’ Everett, WA

Active NPI 1912410580 Individual Practitioner Female Practitioner
Practice location in NPPES

2802 Broadway Ave.
Everett, WA 982013642

Call 4252593191 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2802 Broadway Ave.

Everett, WA 982013642

Telephone 4252593191
Organization at the Same NPPES Address or Phone
Volunteers Of America Facility NPI 1083830285

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Everett and Washington

874 active clinicians are listed under Counselor with a practice address in Everett, WA (11,473 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Everett

0% of these 874 clinicians have the CMS telehealth indicator.

0.3% of these 874 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-04
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location March 04, 2025

Registered at 2802 BROADWAY AVE., EVERETT, WA 982013642 (Tel: 4252593191)

πŸ“
Updated Business Mailing Address March 04, 2025

Registered at PO BOX 839, EVERETT, WA 982060839 (Tel: 4252593191)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Counselor

πŸ“
Updated Business Mailing Address August 11, 2020

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 5032241044)

πŸ“
Updated Business Mailing Address March 06, 2019

Registered at 2283 SW STURGES LN APT 155, TROUTDALE, OR 970604492 (Tel: 5039607563)

βœ…
NPI Profile Active November 06, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 06, 2017

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

πŸ“
Business Mailing Address (Initial Record) November 06, 2017

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

πŸ‘€
Provider Name / Credentials (Initial Record) November 06, 2017

Recorded as CRISTEN KIMBALL, QMHA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2017

Counselor

🟒
Initial NPI Registration & Enumeration November 06, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912410580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2017
Last Update: March 04, 2025
Sole Proprietor: No

Mailing Address

Po Box 839

Everett, WA 982060839

Phone: 4252593191

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.