Kimberlee Deana Beath, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

144505 Issued in CA

Practice address

265 Nevada St
Auburn, CA 95603-4617

Phone

(916) 647-7488

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insights Counseling Group

  • Community/Behavioral Health Agency
  • Auburn, CA
  • NPI 1104943323
  NPD (past)

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1366260895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 ROCKLIN RD APT 416",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773528",
            "telephone_number": "916-647-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 NEVADA ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034617",
            "telephone_number": "916-647-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5240 Rocklin Rd Apt 416",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "956773528",
            "country_code": "US",
            "telephone_number": "916-647-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATH",
        "first_name": "KIMBERLEE",
        "middle_name": "DEANA",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "144505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Auburn, CA
• Providers in Auburn, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.