Active NPI
Kimberly Gill, M.A., LMHC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1790017242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T-0129201
- Practice address
- 803 Tijeras Ave NW
Albuquerque, NM 87102-3096 - Phone
- (505) 243-2223
- NPI assigned
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-0129201 | NM | Primary |
Addresses
Primary practice location
803 Tijeras Ave NW
Albuquerque, NM 87102-3096
Mailing address
4655 Corrales Rd Unit a
Corrales, NM 87048-8617
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 |
|---|---|---|---|
| T-0129201 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1790017242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 CORRALES RD UNIT A",
"city": "CORRALES",
"state": "NM",
"postal_code": "870488617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 TIJERAS AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023096",
"telephone_number": "505-243-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "KIMBERLY",
"credential": "M.A., LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-0129201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.