Ava Rose Kimber, MS MA LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

203492 Issued in TX

Practice address

1402 S Custer Rd Ste 204
McKinney, TX 75072-1452

Phone

(469) 712-9134

Fax

(469) 631-0888

NPI assigned

Jul 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Underwood Counseling & Consultation PLLC

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1851867584
  NPD (past)

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1043983281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD STE 204",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721452",
            "telephone_number": "469-712-9134",
            "fax_number": "469-631-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD STE 204",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721452",
            "telephone_number": "469-712-9134",
            "fax_number": "469-631-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBER",
        "first_name": "AVA",
        "middle_name": "ROSE",
        "credential": "MS MA LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "203492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "203492",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimi Kim, FNP-C
• Kyeongseon Kim, DDS
• Mi Hwa Kim, A-GNP-C
• Sarah Nayoung Kim, M.D.
• Steve J. Kim, DDS
• Michael Kimble
• Kind Primary Care
• Kinex Podiatry PLLC
• Daninira King
• Deborah Fandi King

• Mental Health Counselor in McKinney, TX
• Providers in McKinney, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.