Active NPI
Kimberly Dawn Lincoln, LMHC
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1023380177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11737
- Practice address
- 923 Beard Ave
Winter Park, FL 32789 - Phone
- (321) 277-4058
- NPI assigned
- Feb 6, 2012
- Last updated
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11737 | FL | Primary |
Addresses
Primary practice location
923 Beard Ave
Winter Park, FL 32789
Mailing address
813 Maxwell St
Orlando, FL 32804-6225
Phone (321) 277-4058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02156400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11737 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Past | Accepting new patients |
Locations
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
319 Chapanoke Rd
Ste 120
Raleigh, NC 27603
Phone (919) 322-5911
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1972644334
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1831465442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1023380177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 MAXWELL ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046225",
"telephone_number": "321-277-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 BEARD AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "321-277-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCOLN",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02156400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Brandi Loverich Ligon, APRN
- Chelsea Liles, PA-C
- Laura Haynes Lima, PT, DPT
- Limitless Options, LLC. (Limitless Options Mens Clinic)
- Lincare Inc (Adult & Pediatric Specialists)
- Ester Doreen Lincourt, M.D.
- Megan Carole Lind, PA-C
- Dayana Ling Delgado, RBT
- Lions Chiropractic and Injury P.a.
- Natalia Alice Lipkin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.