Active NPI
Kimberly B Allen, LMFT
- Mental Health Counselor
- Ely, NV
National Provider Identifier
1669991576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4149
- Practice address
- 1675 Avenue F
Ely, NV 89301-3500 - Phone
- (775) 289-1671
- Fax
- (775) 289-1699
- NPI assigned
- Sep 12, 2017
- Last updated
- Jul 19, 2022
- 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 | 4149 | NV | Primary |
| Marriage & Family Therapist | 106H00000X | MI0848 | NV |
Addresses
Primary practice location
1675 Avenue F
Ely, NV 89301-3500
Mailing address
PO Box 151107
Ely, NV 89315-1107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4149 | Other | NV | LMFT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MI0848 | NV | MD | Marriage & Family Therapist |
| 4149 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1669991576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151107",
"city": "ELY",
"state": "NV",
"postal_code": "893151107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 AVENUE F",
"city": "ELY",
"state": "NV",
"postal_code": "893013500",
"telephone_number": "775-289-1671",
"fax_number": "775-289-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KIMBERLY",
"middle_name": "B",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "4149",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI0848",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "4149",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ely, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.