Active NPI
Kimmarie Kearns-Vinal
- Counselor
- Fall River, MA
National Provider Identifier
1447533377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 386 Stanley St
Fall River, MA 02720-6009 - Phone
- (508) 679-5222
- Fax
- (508) 676-5671
- NPI assigned
- Sep 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 121307 | MA | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
386 Stanley St
Fall River, MA 02720-6009
Mailing address
386 Stanley St
Fall River, MA 02720-6009
Phone (508) 679-5222
Other names 1
- Kim Kearns
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121307 | MA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma Healing Support LLC | Counselor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Mattapoisett, MA
- NPI 1770334575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1447533377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 STANLEY ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027206009",
"telephone_number": "508-679-5222",
"fax_number": "508-676-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 STANLEY ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027206009",
"telephone_number": "508-679-5222",
"fax_number": "508-676-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNS-VINAL",
"first_name": "KIMMARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "121307",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "KEARNS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.