Kimberly Edmister, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

00816 Issued in NC

Practice address

120 Applecross Rd
Pinehurst, NC 28374-8520

Phone

(910) 830-3064

NPI assigned

May 13, 2024

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

Opted out of Medicare

Yes, effective Apr 27, 2024 through Apr 27, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Possibilities Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pinehurst, NC
  • NPI 1700661931
  NPD Authorized official

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1073361200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748520",
            "telephone_number": "910-830-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748520",
            "telephone_number": "910-830-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTER",
        "first_name": "KIMBERLY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "00816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Eaton, M.D.
• Sara Marie Ebel, PA-C
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• Edc Drug Stores Inc
• Thomas Arthur Edgerton, M.D.
• Camron Keon Edrissi, MD
• Elton G. Edwards Jr.
• Marla Edwards
• Michael D Edwards, MD
• Courtney Thigpen Eiserman

• Marriage & Family Therapist in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.