Individual provider Active NPI

Kimberly K Picha, LMHC

  • Mental Health Counselor
  • Winter Haven, FL
National Provider Identifier
1821244344
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16310 Issued in FL
Practice address
203 Avenue a NW Ste 300
Winter Haven, FL 33881-4540
Phone
(863) 299-7787
Fax
(863) 299-7757
NPI assigned
Aug 15, 2008
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 MH16310 FL Primary

Addresses

Primary practice location

203 Avenue a NW Ste 300
Winter Haven, FL 33881-4540

Mailing address

203 Avenue a NW Ste 300
Winter Haven, FL 33881-4540
Phone (863) 299-7787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240215001709 FL Practitioner - Mental Health Counselor 0143670083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Community Church IncGroup PAC ID 2466885090, 5 clinicians

Practice addresses (Care Compare)

203 Ave a NW
Suite 300
Winter Haven, FL 33881-4540
Phone (863) 299-7787

301 3Rd St NW
Suite 212
Winter Haven, FL 33881-4094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH16310FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Community Church, Inc. Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Nurse on Call, LLC PastSince Apr 6, 2025 Accepting new patients

Locations

203 Avenue A NW
Ste 300
Winter Haven, FL 33881
Phone (863) 294-7848

301 3rd St NW
Ste 212
Winter Haven, FL 33881
Phone (863) 299-7787

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1821244344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AVENUE A NW STE 300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814540",
            "telephone_number": "863-299-7787",
            "fax_number": "863-299-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AVENUE A NW STE 300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814540",
            "telephone_number": "863-299-7787",
            "fax_number": "863-299-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHA",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.