Individual provider Active NPI

Kimberly Mugimu, LMHC

  • Mental Health Counselor
  • Abington, MA
National Provider Identifier
1447676911
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10666 Issued in MA
Practice address
620 Randolph St
Abington, MA 02351-1159
Phone
(339) 788-0756
NPI assigned
Mar 8, 2014
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Mental Health Counselor 101YM0800X 10666 MA Primary

Addresses

Primary practice location

620 Randolph St
Abington, MA 02351-1159

Mailing address

620 Randolph St
Abington, MA 02351-1159
Phone (339) 788-0756

Other practice location 1

321 Fortune Blvd
Milford, MA 01757-1750
Phone (508) 478-0207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240506000564 MA Practitioner - Mental Health Counselor 2062852247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10666MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services, Inc. Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040

965 Church St
New Bedford, MA 02745
Phone (508) 996-3154

61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1447676911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 RANDOLPH ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023511159",
            "telephone_number": "339-788-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 RANDOLPH ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023511159",
            "telephone_number": "339-788-0756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Fortune Blvd",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017571750",
            "country_code": "US",
            "telephone_number": "508-478-0207",
            "fax_number": "508-634-6984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUGIMU",
        "first_name": "KIMBERLY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-08",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, MA

Sources for this page

Verify at the official NPI Registry.