Individual provider Active NPI

Kimberly Sloan

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1407486285
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4818
Phone
(757) 453-5773
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X VA Primary

Addresses

Primary practice location

3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4818

Mailing address

3386 Holland Rd Ste 101
Virginia Beach, VA 23452-4818
Phone (757) 343-6575

Other practice location 1

6350 Center Dr Ste 106
Norfolk, VA 23502-4107
Phone (757) 227-3072

Other names 1

  • Kimber Lee Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226003574 VA Practitioner - Mental Health Counselor 2264888981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Personal Growth & Change Mental Health CurrentSince Oct 1, 2020 Accepting new patients
Amazing Counseling LLC CurrentSince Apr 20, 2017 Accepting new patients
Divas, Inc PastSince Feb 14, 2021 Accepting new patients

Locations

3105 American Legion Rd
Ste F
Chesapeake, VA 23321
Phone (757) 227-3072

6350 Center Dr
Ste 106
Norfolk, VA 23502
Phone (757) 227-3072

3386 Holland Rd
Ste 101
Virginia Beach, VA 23452
Phone (757) 343-6575

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1407486285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 HOLLAND RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524818",
            "telephone_number": "757-343-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 HOLLAND RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524818",
            "telephone_number": "757-453-5773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 Center Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024107",
            "country_code": "US",
            "telephone_number": "757-227-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBER",
            "last_name": "LEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.