Individual provider Active NPI

Kimberly Fienberg-Landreth, NCC, LMHC

  • Mental Health Counselor
  • Daytona Beach, FL
National Provider Identifier
1235848391
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25083 Issued in FL
Practice address
1616 Concierge Blvd Ste 100
Daytona Beach, FL 32117-7159
Phone
(386) 235-0348
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 MH25083 FL Primary

Addresses

Primary practice location

1616 Concierge Blvd Ste 100
Daytona Beach, FL 32117-7159

Mailing address

110 Melaleuca Dr
Crawfordville, FL 32327-4963
Phone (850) 671-9284

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
I20260516000249 FL Practitioner - Mental Health Counselor 0345719506 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
Group practices
Serene Resolutions LLCGroup PAC ID 6204374416, 6 clinicians

Practice addresses (Care Compare)

1616 Concierge Blvd
Suite 100
Daytona Beach, FL 32117-7159
Phone (386) 235-0348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH25083FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Resolutions LLC CurrentSince Apr 6, 2026 Accepting new patients

Locations

1616 Concierge Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 235-0348

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1235848391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MELALEUCA DR",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323274963",
            "telephone_number": "850-671-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CONCIERGE BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177159",
            "telephone_number": "386-235-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIENBERG-LANDRETH",
        "first_name": "KIMBERLY",
        "credential": "NCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.