Individual provider Active NPI

Kimberly Hines Jean Baptiste, LMFT

  • Marriage & Family Therapist
  • Hollywood, FL
National Provider Identifier
1346775731
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2830 Issued in FL
Practice address
450 N Park Rd
Ste.600
Hollywood, FL 33021-6917
Phone
(954) 929-7515
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2830 FL Primary

Addresses

Primary practice location

450 N Park Rd
Ste.600
Hollywood, FL 33021-6917

Mailing address

2845 SW 3Rd CT
Fort Lauderdale, FL 33312-2018
Phone (954) 397-1472

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

State licenses

LicenseStateTypeSpecialty
MT2830FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1346775731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 SW 3RD CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122018",
            "telephone_number": "954-397-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N PARK RD",
            "address_2": "STE.600",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216917",
            "telephone_number": "954-929-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES JEAN BAPTISTE",
        "first_name": "KIMBERLY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.