Kimberly Ann Street, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2134 Issued in TN

Practice address

1440 Highway 70 E
Dickson, TN 37055-2220

Phone

(615) 740-1114

Fax

(615) 740-1114

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013046002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WILLIAMS DR",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371874900",
            "telephone_number": "615-797-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552220",
            "telephone_number": "615-740-1114",
            "fax_number": "615-740-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Earnest Stephens, M.D.
• Bridget Catherine Stevens
• Donna G. Stock, RN
• Janis Lynn Story, FNP-C
• Joseph Strawser
• Ansley Stringfield, OTD
• John Carlos Stritikus, D.D.S.
• Amy L Suddeath, NP
• Scott Sullins, PHARMD
• Summer Sun

• Mental Health Counselor in Dickson, TN
• Providers in Dickson, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.