Individual provider Active NPI

Kimberly Bernat

  • Mental Health Counselor
  • Savannah, GA
National Provider Identifier
1154190072
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
315 Commercial Dr Ste D8
Savannah, GA 31406-3645
Phone
(912) 604-0901
Fax
(912) 988-8161
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC014268GAMDMarriage & Family Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LPC014268 GA
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

315 Commercial Dr Ste D8
Savannah, GA 31406-3645

Mailing address

315 Commercial Dr Ste D8
Savannah, GA 31406-3645
Phone (912) 604-0901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2023.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1154190072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 COMMERCIAL DR STE D8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063645",
            "telephone_number": "912-604-0901",
            "fax_number": "912-988-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COMMERCIAL DR STE D8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063645",
            "telephone_number": "912-604-0901",
            "fax_number": "912-988-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAT",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "LPC014268",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.