Individual provider Active NPI

Kimberley Anne Hoff, LMHC

  • Mental Health Counselor
  • Fort Walton Beach, FL
National Provider Identifier
1134322969
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8032 Issued in FL
Practice address
3 Vine Ave NE
Fort Walton Beach, FL 32548-5069
Phone
(850) 226-7666
Fax
(850) 226-7499
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 MH8032 FL Primary

Addresses

Primary practice location

3 Vine Ave NE
Fort Walton Beach, FL 32548-5069

Mailing address

3 Vine Ave NE
Fort Walton Beach, FL 32548-5069
Phone (850) 226-7666

Other identifiers 1

IdentifierTypeStateIssuer
002177100MedicaidFL

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
I20240223002663 FL Practitioner - Mental Health Counselor 3678918182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayer Neurobehavioral Center, PLLCGroup PAC ID 4981922747, 7 clinicians

Practice addresses (Care Compare)

3 Vine Ave NE
Fort Walton Beach, FL 32548-5069
Phone (850) 226-7666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayer Neurobehavioral Center, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3 Vine Ave NE
Ft Walton Bch, FL 32548
Phone (850) 226-7666

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1134322969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VINE AVE NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485069",
            "telephone_number": "850-226-7666",
            "fax_number": "850-226-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VINE AVE NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485069",
            "telephone_number": "850-226-7666",
            "fax_number": "850-226-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFF",
        "first_name": "KIMBERLEY",
        "middle_name": "ANNE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002177100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.