Individual provider Active NPI

Kimberly Stratton, LMHC

  • Mental Health Counselor
  • Lake City, FL
National Provider Identifier
1114460011
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14210 Issued in FL
Practice address
260 S Marion Ave Ste 135
Lake City, FL 32025-7000
Phone
(386) 965-6901
NPI assigned
Nov 23, 2016
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14210 FL Primary

Addresses

Primary practice location

260 S Marion Ave Ste 135
Lake City, FL 32025-7000

Mailing address

796 SW Hunter Rd
Lake City, FL 32024-2939
Phone (386) 965-6901

Other practice location 1

1010 E Rose St
Lakeland, FL 33801-2016
Phone (863) 413-3126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205000190 FL Practitioner - Mental Health Counselor 4789027046 Reassigns benefits to 2 organizations
Practice locations: Lake City, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Therapy Services, LLC CurrentSince Apr 5, 2021 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 8, 2024 Accepting new patients
Tranquility Therapy Services, LLC CurrentSince Apr 5, 2021 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Ruth Lehmann Past Accepting new patients

Locations

260 S Marion Ave
Ste 135
Lake City, FL 32025
Phone (352) 373-4411

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1114460011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 SW HUNTER RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320242939",
            "telephone_number": "386-965-6901",
            "fax_number": "386-406-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S MARION AVE STE 135",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320257000",
            "telephone_number": "386-965-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 E Rose St",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338012016",
            "country_code": "US",
            "telephone_number": "863-413-3126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "KIMBERLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.