Individual provider Active NPI

Kynedii Kimble, LMHC, LPC, NCC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1780451179
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22903 Issued in FL
Practice address
2423 SW 147TH Ave Ste 2000
Miami, FL 33185-4082
Phone
(786) 561-1849
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701013155 VA
Professional Counselor 101YP2500X 93746 TX
Professional Counselor 101YP2500X LPC.0020481 CO
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH22903 FL Primary

Addresses

Primary practice location

2423 SW 147TH Ave Ste 2000
Miami, FL 33185-4082

Mailing address

2423 SW 147TH Ave Ste 2000
Miami, FL 33185-4082

Other practice location 1

9960 Mayland Dr
Richmond, VA 23233-1485
Phone (786) 561-1849

Other practice location 2

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Other practice location 3

9100 S Dadeland Blvd Ste 1500
Miami, FL 33156-7816
Phone (415) 424-4266

Other practice location 4

8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516
Phone (415) 424-4266

Other practice location 5

720 S Colorado Blvd Ph North
Denver, CO 80246-1904
Phone (415) 424-4266

Other practice location 6

1801 Congress Ave Ste 7.300
Austin, TX 78701-1320
Phone (786) 561-1849

Other practice location 7

1560 Broadway Ste 1350
Denver, CO 80202-5146
Phone (786) 561-1849

Other practice location 8

8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516
Phone (786) 561-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240606000214 VA Practitioner - Mental Health Counselor 3476095407 Reassigns benefits to 1 organization
I20240702001574 TX Practitioner - Mental Health Counselor 3476095407 Reassigns benefits to 2 organizations
I20240705000386 CO Practitioner - Mental Health Counselor 3476095407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22903FLMDMental Health Counselor
0701013155VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince May 18, 2024 Accepting new patients
Beu Counseling Mental Health CurrentSince Oct 3, 2025 Accepting new patients

Locations

1560 Broadway
Ste 1350
Denver, CO 80202
Phone (512) 921-9374

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

2423 SW 147th Ave
Miami, FL 33185
Phone (305) 317-2426

1801 Congress Ave
Ste 7300
Austin, TX 78701
Phone (786) 561-1849

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

9960 Mayland Dr
Richmond, VA 23233
Phone (786) 561-1849

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1780451179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 SW 147TH AVE STE 2000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 SW 147TH AVE STE 2000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854082",
            "telephone_number": "786-561-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9960 Mayland Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331485",
            "country_code": "US",
            "telephone_number": "786-561-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Esters Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750632233",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-525-0663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 S Dadeland Blvd Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567816",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8280 Willow Oaks Corporate Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314516",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 S Colorado Blvd Ph North",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461904",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Congress Ave Ste 7.300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787011320",
            "country_code": "US",
            "telephone_number": "786-561-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Broadway Ste 1350",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025146",
            "country_code": "US",
            "telephone_number": "786-561-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8280 Willow Oaks Corporate Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314516",
            "country_code": "US",
            "telephone_number": "786-561-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "KYNEDII",
        "credential": "LMHC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013155",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93746",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020481",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.