Active NPI
Kimberly Donat Ali, L.C.S.W.
- Counselor
- St Petersburg, FL
National Provider Identifier
1396807137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SW6302
- Practice address
- 6739 1St Ave S
St Petersburg, FL 33707-1307 - Phone
- (727) 341-1000
- Fax
- (727) 341-1000
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW6302 | FL | Primary |
Addresses
Primary practice location
6739 1St Ave S
St Petersburg, FL 33707-1307
Mailing address
6739 1St Avenue South
St Petersburg, FL 33707-1307
Phone (727) 341-1000
Other names 1
- Kimberly Mary Donat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6739 1St Ave S
St Petersburg, FL 33707-1307
6739 1St S Ave
Saint Petersburg, FL 33707-1307
Phone (727) 341-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions 4 Life Inc | Current | Accepting new patients | |
| Joan S Mason LCSW Cap P a | Past | Accepting new patients |
Locations
6739 1st Ave S
St Petersburg, FL 33707
Phone (727) 341-1000
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- St Petersburg, FL
- NPI 1962789198
-
- Clinical Social Worker
- St Petersburg, FL
- NPI 1538207667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1396807137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6739 1ST AVENUE SOUTH",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337071307",
"telephone_number": "727-341-1000",
"fax_number": "727-341-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6739 1ST AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337071307",
"telephone_number": "727-341-1000",
"fax_number": "727-341-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "KIMBERLY",
"middle_name": "DONAT",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "SW6302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "DONAT",
"middle_name": "MARY",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.