Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891362018 Individual Practitioner Female Practitioner

Kimberly Barragan , SUDPT

Counselor • Shelton, WA

Professional Overview & Biography Verified Profile Summary

Kimberly Barragan, SUDPT is a registered healthcare professional specializing in Counselor in Shelton, WA. Practice services are available at 506 W FRANKLIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

506 W Franklin St

Shelton, WA 985843517

Telephone 3604275232
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Shelton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Shelton, WA (11556 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CO61155500

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CO61155500

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2178866 (WA)

Secondary Practice Locations

1956 Ne Kresky Ave

Chehalis, WA 985322307

Phone: 3607404380

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Jennifer Vandegraft , MS, LMHC

Counselor - Mental Health

NPI 1063453314

Master of Science, Licensed Mental Health Counselor

NPI 1245846252
Juan Soto , AAC, CPC

Peer Specialist

NPI 1255020244
NPI 1386597458

Master of Arts, RAAC

Machel Ledford , SUDP

Counselor - Addiction (Substance Use Disorder)

NPI 1477014561
NPI 1528884707

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2022

Counselor (License #CO61155500 in WA)

👤
Provider Name / Credentials Updated February 24, 2022

Recorded as KIMBERLY BARRAGAN, SUDPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2022

Counselor (License #CO61155500 in WA)

NPI Profile Active June 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2021

Registered at 506 W FRANKLIN ST, SHELTON, WA 985843517 (Tel: 3604275232)

📍
Updated Business Mailing Address June 07, 2021

Registered at PO BOX 59, CHEHALIS, WA 985320059 (Tel: 3607404380)

👤
Provider Name / Credentials Updated June 07, 2021

Recorded as KIMBERLY BARRAGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2021

Counselor (License #CO61155500 in WA)

🟢
Initial NPI Registration & Enumeration June 07, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891362018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2021
Last Update: July 18, 2022
Sole Proprietor: No

Mailing Address

Po Box 59

Chehalis, WA 985320059

Phone: 3607404380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.