Organization Active NPI

Kimberly Capstraw, LMFT

  • Marriage & Family Therapist
  • Mount Dora, FL
National Provider Identifier
1497144356
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KIMBERLY CAPSTRAW, LMFT
Practice address
115 E 4TH Ave Ste 206
Mount Dora, FL 32757-5550
Phone
(407) 227-9245
Fax
(352) 735-1551
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Mrs. Kimberly Westbrook Capstraw, LMFTNPI 1700181872
Title
Owner/ Marriage and Family Therapis
Phone
(407) 227-9245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

115 E 4TH Ave Ste 206
Mount Dora, FL 32757-5550

Mailing address

27198 Woodhollow Rd
Mount Dora, FL 32757-9615
Phone (407) 227-9245

National Provider Directory

National Provider Directory

Locations

115 E 4th Ave
Ste 206
Mount Dora, FL 32757
Phone (407) 227-9245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1497144356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27198 WOODHOLLOW RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579615",
            "telephone_number": "407-227-9245",
            "fax_number": "352-735-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 4TH AVE STE 206",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575550",
            "telephone_number": "407-227-9245",
            "fax_number": "352-735-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY CAPSTRAW, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "CAPSTRAW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "WESTBROOK",
        "authorized_official_title_or_position": "OWNER/ MARRIAGE AND FAMILY THERAPIS",
        "authorized_official_telephone_number": "407-227-9245",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.