Kimberly Staples, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

107 S Johnson St
Brevard, NC 28712-3707

Phone

(828) 577-4977

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• West Central Services, Inc

  • Case Manager/Care Coordinator
  • Claremont, NH
  • NPI 1013377571
  NPD (past)
• West Central Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, NH
  • NPI 1174635684
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1831211523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ADVENTURE RIDGE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287125619",
            "telephone_number": "603-826-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S JOHNSON ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123707",
            "telephone_number": "828-577-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "KIMBERLY",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southmountain Children & Family Services
• Southmountain Children and Family Services
• Kristina Wing Spivey, NP
• Amanda Elizabeth Sprofera, DPT
• SSC Brevard Operating Company LLC
• Hope Starring, OTR
• Jackson Dayton Steelman, LPCA, LCASA
• Stephanie Yeatts Integrated Counseling & Coaching
• Darrin Lee Stepp
• James Patrick Stewart, LPC,LMFT,NCC

• Mental Health Counselor in Brevard, NC
• Providers in Brevard, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.