Individual provider Active NPI

Kimberly Susan Gale-Flaherty, LMHC

  • Mental Health Counselor
  • North Attleboro, MA
National Provider Identifier
1700935558
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4975 Issued in MA
Practice address
521 Mount Hope St Ste 203
North Attleboro, MA 02760-2611
Phone
(508) 431-7972
Fax
(774) 306-3509
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4975 MA Primary

Addresses

Primary practice location

521 Mount Hope St Ste 203
North Attleboro, MA 02760-2611

Mailing address

521 Mount Hope St Ste 203
North Attleboro, MA 02760-2611
Phone (508) 431-7972

Other names 1

  • Kimberly Susan Macmurray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 10, 2024 through Dec 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4975MAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1700935558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MOUNT HOPE ST STE 203",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602611",
            "telephone_number": "508-431-7972",
            "fax_number": "774-306-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MOUNT HOPE ST STE 203",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602611",
            "telephone_number": "508-431-7972",
            "fax_number": "774-306-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE-FLAHERTY",
        "first_name": "KIMBERLY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MACMURRAY",
            "middle_name": "SUSAN",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Attleboro, MA

Sources for this page

Verify at the official NPI Registry.