Active NPI
Kimberly Charlotte Hintz, M.A., ITDS
- Developmental Therapist
- Cocoa, FL
National Provider Identifier
1407141369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 6230 Edison St
Cocoa, FL 32927-8833 - Phone
- (321) 431-8345
- NPI assigned
- Jun 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Developmental Therapist | 222Q00000X | FL | ||
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
6230 Edison St
Cocoa, FL 32927-8833
Mailing address
398 Brookcrest Cir
Rockledge, FL 32955-4749
Phone (321) 986-7184
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Andrew Pleener, MD, P.a. | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9100 Conroy Windermere Rd
Ste 200
Windermere, FL 34786
Phone (407) 395-2042
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1407141369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 BROOKCREST CIR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554749",
"telephone_number": "321-986-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6230 EDISON ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329278833",
"telephone_number": "321-431-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTZ",
"first_name": "KIMBERLY",
"middle_name": "CHARLOTTE",
"name_prefix": "Ms.",
"credential": "M.A., ITDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.