Counsel With Kim LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH13783 Issued in FL

Legal business name

COUNSEL WITH KIM LLC

Practice address

1543 Lakeland Hills Blvd Ste 7
Lakeland, FL 33805-3246

Phone

(863) 648-9749

Fax

(863) 648-9749

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Kim Brulay, LMHCNPI 1962951962

Title

Owner

Phone

(863) 899-9069

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Brulay, LMHC

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1962951962
  NPD (past) Authorized official

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1154824266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 EAGLE RUN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338095634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 LAKELAND HILLS BLVD STE 7",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053246",
            "telephone_number": "863-648-9749",
            "fax_number": "863-648-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSEL WITH KIM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BRULAY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-899-9069",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH13783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean V Costabile, MD
• Kailah Costello, APRN
• Kerry J Coughlin, OTR/L
• Jordan Nicole Coulter, DO
• Susan Marie Coulter
• Cove Behavioral Health, Inc.
• Jessica Paige Cowden, PHARMD
• Bethany Cox
• Ronald Cox, PHARMD
• Talina L Cox I

• Community/Behavioral Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.