Margaret Revelle Kimball

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC4122 Issued in ME

Practice address

32 Linwood Rd
Freeport, ME 04032-1132

Phone

(207) 522-1704

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Margaret Revelle Kimball Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1689728396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LINWOOD RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321132",
            "telephone_number": "207-522-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LINWOOD RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321132",
            "telephone_number": "207-522-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "MARGARET",
        "middle_name": "REVELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC4122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "KIMBALL",
            "middle_name": "REVELLE",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kara L Kaikini, M.S., IBCLC
• Jodie B Kaufman, CNM, FNP-C
• Susan Walsh Kelley, OTR/L
• Kevin R Kenerson, DO
• Kevin Zorski D.O. LLC
• Brian Keith Knighton, D.O.
• Kenneth Eugene Koenke, DDS
• Brenda Krueger, RDH
• Maureen Elizabeth Lagrua, LPC
• Karen Marie Lambert, M.S./CCC/SPEECH PATH

• Mental Health Counselor in Freeport, ME
• Providers in Freeport, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.