Naomi Ivette Kimball

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH28039 Issued in FL

Practice address

1405 Park Ave Ste 201
Fernandina Beach, FL 32034-1951

Phone

(904) 566-3401

NPI assigned

Apr 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Right Path Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1184925281
  NPD (past)
• Right Path Behavioral Health Services, LLC.

  • Community/Behavioral Health Agency
  • Ft Lauderdale, FL
  • NPI 1255139838
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1831696673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 BLUE DAZE ST",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970087",
            "telephone_number": "904-566-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 PARK AVE STE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341951",
            "telephone_number": "904-566-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "NAOMI",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sayers Counseling Services, LLC
• Jason Stuart Kelly, M.D.
• Joanna E. Kelly, CRNA
• Paula Mae Kelsor, R
• Melissa Kenner, LCSW, LMSW
• Kimberly Carroll Physical Therapy LLC
• Philip Kinard, M.ED, BCBA
• Amelia Claire Kirby, MS, CF-SLP
• Laurie A Kitson, DMD
• Michael C Knudstrup, PHARMACIST

• Mental Health Counselor in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.