Active NPI
Kimberly Kazimour, PH.D.
- Mental Health Counselor
- Gainesville, FL
National Provider Identifier
1619194149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH0001949
- Practice address
- 4040 W Newberry Rd
Suite 1350
Gainesville, FL 32607-5503 - Phone
- (352) 335-2945
- Fax
- (352) 335-2419
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH0001949 | FL | Primary |
| School Psychologist | 103TS0200X | SS0000325 | FL |
Addresses
Primary practice location
4040 W Newberry Rd
Suite 1350
Gainesville, FL 32607-5503
Mailing address
837 SW 50TH Way
Gainesville, FL 32607-3824
Phone (352) 335-2945
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3721213 | Other | FL | AETNA |
| 306886 | Other | AVMED | |
| Z2768 | Other | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH0001949 | FL | MD | Mental Health Counselor |
| SS0000325 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619194149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 SW 50TH WAY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326073824",
"telephone_number": "352-335-2945",
"fax_number": "352-335-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 W NEWBERRY RD",
"address_2": "SUITE 1350",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326075503",
"telephone_number": "352-335-2945",
"fax_number": "352-335-2419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZIMOUR",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH0001949",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS0000325",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3721213",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "306886",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Z2768",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.