Kimberly P Waterman, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0135839 Issued in VT

Practice address

63 Maple St
Suite 8B
Middlebury, VT 05753

Phone

(802) 382-0820

NPI assigned

May 23, 2024

Last updated

May 23, 2024By the provider in NPPES

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

• Kimberly K Pearson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1780423236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 WEYBRIDGE RD",
            "city": "WEYBRIDGE",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-545-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MAPLE ST",
            "address_2": "SUITE 8B",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-382-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "KIMBERLY",
        "middle_name": "P",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PEARSON",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle S Wallace
• Kathleen Walls, LCMHC
• Tyler W Wark, MD
• Hadley Christine Warner, PA-C
• Lena Wasmus, APRN
• Shelby Watts
• Joann Wells, PT
• Laura Weylman, MD
• Heidi Wilhelm
• Peter C Wilhelm, MD

• Mental Health Counselor in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.