Individual provider Active NPI

Kimberly Darlene Tompkins, LMHC

  • Mental Health Counselor
  • Beverly, MA
National Provider Identifier
1538717004
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9005 Issued in MA
Practice address
95 Rantoul St
Beverly, MA 01915-4215
Phone
(978) 816-8773
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9005 MA Primary

Addresses

Primary practice location

95 Rantoul St
Beverly, MA 01915-4215

Mailing address

7 Botts CT
Salem, MA 01970-3101
Phone (978) 816-8773

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kimtompkins@thestudioforexpressivearts.com Direct
Direct Messaging Address kimtompkins@thestudioforexpressivearts.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

State licenses

LicenseStateTypeSpecialty
9005MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1538717004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BOTTS CT",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703101",
            "telephone_number": "978-816-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 RANTOUL ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154215",
            "telephone_number": "978-816-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "KIMBERLY",
        "middle_name": "DARLENE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimtompkins@thestudioforexpressivearts.com",
            "affiliation": "N",
            "endpointDescription": "hush mail account, encrypted e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7 Botts Ct",
            "city": "Salem",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019703101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimtompkins@thestudioforexpressivearts.com",
            "affiliation": "N",
            "endpointDescription": "hushmail, encrypted e-mail",
            "address_1": "7 Botts Ct",
            "city": "Salem",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019703101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.