Individual provider Active NPI

Kimberly Michelle Scholz, MA, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1306353875
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22920 Issued in FL
Practice address
8354 N Davis Hwy Ste 200
Pensacola, FL 32514-6584
Phone
(850) 786-3236
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 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 MH22920 FL Primary

Addresses

Primary practice location

8354 N Davis Hwy Ste 200
Pensacola, FL 32514-6584

Mailing address

8354 N Davis Hwy Ste 200
Pensacola, FL 32514-6584
Phone (850) 786-3236

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH22920FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ljak Enterprises LLC Mental Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

8354 N Davis Hwy
Ste 200
Pensacola, FL 32514
Phone (850) 516-5592

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1306353875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8354 N DAVIS HWY STE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146584",
            "telephone_number": "850-786-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8354 N DAVIS HWY STE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146584",
            "telephone_number": "850-786-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLZ",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.