Individual provider Active NPI

Kimberly Kazimour, PH.D.

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1619194149
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0001949 Issued in FL
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3721213OtherFLAETNA
306886OtherAVMED
Z2768OtherBCBS

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

LicenseStateTypeSpecialty
MH0001949FLMDMental Health Counselor
SS0000325FLMDSchool 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.

Verify at the official NPI Registry.