Individual provider Active NPI

Kimberly Ann Mulkey, LMFT

  • Marriage & Family Therapist
  • Cumming, GA
National Provider Identifier
1598345191
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001847 Issued in GA
Practice address
5975 Parkway North Blvd Ste D
Cumming, GA 30040-8255
Phone
(404) 388-3909
Fax
(678) 712-1945
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001847 GA Primary

Addresses

Primary practice location

5975 Parkway North Blvd Ste D
Cumming, GA 30040-8255

Mailing address

5975 Parkway North Blvd Ste D
Cumming, GA 30040-8255
Phone (404) 388-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260626000400 GA Practitioner - Marriage and Family Therapist 0749753192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5005 Rockside Rd
Independence, OH 44131-2194

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT001847GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Forward Counseling and Consulting, Inc CurrentSince Apr 11, 2021 Accepting new patients

Locations

5975 Parkway North Blvd
Ste 300D
Cumming, GA 30040
Phone (404) 388-3909

5975 Parkway North Blvd
Ste D
Cumming, GA 30040
Phone (404) 388-3909

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1598345191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 PARKWAY NORTH BLVD STE D",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408255",
            "telephone_number": "404-388-3909",
            "fax_number": "678-712-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 PARKWAY NORTH BLVD STE D",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408255",
            "telephone_number": "404-388-3909",
            "fax_number": "678-712-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.