Kimberly Council, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10077 Issued in FL

Practice address

190 Southpark Blvd Ste 100
St Augustine, FL 32086-4209

Phone

(904) 824-1478

NPI assigned

Nov 28, 2022

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RWW Senior Living Outpatient Rehab Services LLCGroup PAC ID 2163954314, 56 clinicians

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Coral Gables, FL
  • NPI 1871972653

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• RWW Senior Living Outpatient Rehab Services, LLC

  dba Adoration Outpatient Therapy

  • Physical Therapist
  • Saint Johns, FL
  • NPI 1811735996
  Medicare reassignment Care Compare group NPD
• RWW Senior Living Outpatient Rehab Services, LLC

  • Physical Therapist
  • Sarasota, FL
  • NPI 1619833803
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Speech-Language Pathologist

  NPD
• Genesis Rehabilitation Hospital, Inc.

  dba Brooks Rehabilitation Hospital Bartram Campus

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1376114413
  NPD (past)
• Genesis Rehabilitation Hospital, Inc.

  dba Brooks Rehabilitation

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1912947748
  NPD (past)
• Rehab in Motion, LLC

  • Physical Therapist
  • Saint Johns, FL
  • NPI 1255174371

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1437869781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WILD ROSE DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598470",
            "telephone_number": "706-540-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SOUTHPARK BLVD STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864209",
            "telephone_number": "904-824-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 County Road 210 W Ste B",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322592419",
            "country_code": "US",
            "telephone_number": "904-717-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUNCIL",
        "first_name": "KIMBERLY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Costine
• Hanna Cothern, MA, CCC-SLP
• Cathleen Cotton
• Leslie Danielle Couden Dileo, LMHC
• Abigail Coulson
• Counseling Associates Clinic
• Dalana Countryman-Benjamin, RBT
• County of St Johns Board of County Commissioners
• Lindsey Courson, RN
• Samantha Courson

• Speech-Language Pathologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.