Kimmy Lake, CDP
NPI 1629414917 · Addiction (Substance Use Disorder) Counselor · Tacoma, WA
Kimmy Lake, CDP is a Addiction (Substance Use Disorder) Counselor provider in Tacoma, WA (NPI 1629414917).
Provider details
- NPI number
- 1629414917
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDP
- Sex
- Female
- Sole proprietor
- No
- License
- CP60311481 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-14
- Last updated
- 2013-05-14
Frequently asked questions
- What is Kimmy Lake's NPI number?
- Kimmy Lake's National Provider Identifier (NPI) is 1629414917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimmy Lake's specialty?
- Kimmy Lake is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kimmy Lake located?
- Kimmy Lake's practice location on file with NPPES is 758 St Helens Ave, Tacoma, WA 98402-3706.
- What is Kimmy Lake's phone number?
- The practice phone number listed in the NPPES registry for Kimmy Lake is (253) 274-0484.
- Is Kimmy Lake's NPI active?
- Yes — Kimmy Lake's NPI (1629414917) is active in the NPPES registry as of the last update on 2013-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.