Active NPI
Kimberly Lynn Wiltshire, LGPC
- Mental Health Counselor
- Bethesda, MD
National Provider Identifier
1447851464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 8030 Woodmont Ave FL 3
Bethesda, MD 20814-3027 - Phone
- (240) 899-2904
- NPI assigned
- Nov 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MD | Primary |
Addresses
Primary practice location
8030 Woodmont Ave FL 3
Bethesda, MD 20814-3027
Mailing address
8030 Woodmont Ave FL 3
Bethesda, MD 20814-3027
Phone (240) 899-2904
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kim@ccmtherapy.com | ||
| Direct Messaging Address | kim@ccmtherapy.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1447851464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8030 WOODMONT AVE FL 3",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143027",
"telephone_number": "240-899-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8030 WOODMONT AVE FL 3",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143027",
"telephone_number": "240-899-2904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTSHIRE",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kim@ccmtherapy.com",
"affiliation": "N",
"endpointDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "8030 Woodmont Ave Fl 3",
"city": "Bethesda",
"state": "MD",
"country_code": "US",
"postal_code": "208143027",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kim@ccmtherapy.com",
"affiliation": "N",
"endpointDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "8030 Woodmont Ave Fl 3",
"city": "Bethesda",
"state": "MD",
"country_code": "US",
"postal_code": "208143027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.