Individual provider Active NPI

Kim Marquard, LMHC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1114739315
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24889 Issued in FL
Practice address
508 Lindsey Dr
Lakeland, FL 33809-7234
Phone
(407) 724-8970
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 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 MH24889 FL Primary

Addresses

Primary practice location

508 Lindsey Dr
Lakeland, FL 33809-7234

Mailing address

508 Lindsey Dr
Lakeland, FL 33809-7234
Phone (407) 724-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20260120002201 ME Practitioner - Mental Health Counselor 7113404369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Minds Counseling IncGroup PAC ID 0840729562, 18 clinicians

Practice addresses (Care Compare)

222 Auburn St
Suite 103
Portland, ME 04103-6005
Phone (207) 616-1127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH24889FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Counseling, Inc. CurrentSince Dec 10, 2025 Accepting new patients

Locations

222 Auburn St
Ste 103
Portland, ME 04103
Phone (207) 373-8522

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1114739315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 LINDSEY DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338097234",
            "telephone_number": "407-724-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 LINDSEY DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338097234",
            "telephone_number": "407-724-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARD",
        "first_name": "KIM",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.