Active NPI
Kimberly Atwood, MA, LPC, MT-BC
- Professional Counselor
- Doylestown, PA
National Provider Identifier
1679607642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 005998
- Practice address
- 107 N Broad St Ste 300
Doylestown, PA 18901-3755 - Phone
- (215) 767-1224
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 000983 | NY | |
| Professional Counselor | 101YP2500X | 005998 | PA | Primary |
Addresses
Primary practice location
107 N Broad St Ste 300
Doylestown, PA 18901-3755
Mailing address
107 N Broad St Ste 300
Doylestown, PA 18901-3755
Phone (215) 767-1224
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005998 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1679607642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N BROAD ST STE 300",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189013755",
"telephone_number": "215-767-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N BROAD ST STE 300",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189013755",
"telephone_number": "215-767-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWOOD",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "MA, LPC, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "000983",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "005998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.