Kimberly Lundin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00725 Issued in RI

Practice address

193 Waterman St
Providence, RI 02906-4064

Phone

(774) 259-6764

NPI assigned

Apr 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1336594506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GINGER TRL",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168265",
            "telephone_number": "774-259-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064064",
            "telephone_number": "774-259-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDIN",
        "first_name": "KIMBERLY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "000009448",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francois I Luks, MD
• Rishi Ramesh Lulla, MD
• Shanice Astrid Lum You
• Jeremy Lum, MD
• Luna Psychiatry LLC
• Shelley Lundin, ATC
• Wendy Ann Lunny
• Pasqualina J Lupo, LCDP
• Terri Lupoli, LICSW
• Aliza Lurie, NP

• Mental Health Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.