Individual provider Active NPI

Kimberly Polinder

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1306756333
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APCC18422 Issued in CA
Practice address
853 Linden Ave
Long Beach, CA 90813-4516
Phone
(562) 514-4282
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 APCC18422 CA Primary

Addresses

Primary practice location

853 Linden Ave
Long Beach, CA 90813-4516

Mailing address

853 Linden Ave
Long Beach, CA 90813-4516
Phone (562) 514-4282

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1306756333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134516",
            "telephone_number": "562-514-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134516",
            "telephone_number": "562-514-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINDER",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC18422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.