Individual provider Active NPI

Kimberly Lynn Roberts, LMHC-QS, MCAP,CBHCMS

  • Mental Health Counselor
  • North Miami Beach, FL
National Provider Identifier
1174071682
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18293 Issued in FL
Practice address
1001 N Miami Beach Blvd
North Miami Beach, FL 33162-3842
Phone
(718) 785-6367
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CBHCMS101075 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP100797 FL
Mental Health Counselor 101YM0800X MH18293 FL Primary

Addresses

Primary practice location

1001 N Miami Beach Blvd
North Miami Beach, FL 33162-3842

Mailing address

1001 N Miami Beach Blvd
North Miami Beach, FL 33162-3842
Phone (718) 785-6367

Other practice location 1

1031 Ives Dairy Rd Ste 228
North Miami Beach, FL 33179-2538
Phone (786) 320-5559

Other practice location 2

213 S US Highway 17 Ste A
East Palatka, FL 32131-4005
Phone (786) 589-7248

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
I20240917004550 FL Practitioner - Mental Health Counselor 4880005586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
G.R.O.W.T.H. Counseling and TherapyGroup PAC ID 8820401870, 2 clinicians

Practice addresses (Care Compare)

1001 N Miami Beach Blvd
North Miami Beach, FL 33162-3842
Phone (718) 785-6367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCAP100797FLMDAddiction (Substance Use Disorder) Counselor
MH18293FLMDMental Health Counselor
CBHCMS101075FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
G.R.O.W.T.H. Counseling and Therapy CurrentSince Mar 24, 2020 Accepting new patients

Locations

213 S US Highway 17
Ste A
East Palatka, FL 32131
Phone (786) 589-7248

1001 N Miami Beach Blvd
North Miami Beach, FL 33162
Phone (718) 785-6367

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1174071682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N MIAMI BEACH BLVD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623842",
            "telephone_number": "718-785-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MIAMI BEACH BLVD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623842",
            "telephone_number": "718-785-6367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Ives Dairy Rd Ste 228",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331792538",
            "country_code": "US",
            "telephone_number": "786-320-5559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 S US Highway 17 Ste A",
            "address_purpose": "LOCATION",
            "city": "East Palatka",
            "state": "FL",
            "postal_code": "321314005",
            "country_code": "US",
            "telephone_number": "786-589-7248",
            "fax_number": "786-589-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "LMHC-QS, MCAP,CBHCMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS101075",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100797",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.