Individual provider Active NPI

Kimberly Carias, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly, MA
National Provider Identifier
1861157406
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2383361 Issued in MA
Practice address
100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107
Phone
(305) 528-2377
NPI assigned
Nov 8, 2021
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9465893 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11018346 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.027837 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2383361 MA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0100998-C-NP CO

Addresses

Primary practice location

100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107

Mailing address

191 NE 211TH St
Miami, FL 33179-1012
Phone (305) 528-2377

Other practice location 1

191 NE 211th St
Miami, FL 33179-1012
Phone (305) 528-2377

Other practice location 2

1431 Opus Pl Ste 110
Downers Grove, IL 60515-1164
Phone (305) 528-2377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230726000771 FL Practitioner - Nurse Practitioner 9436510211 Practice locations: Miami, FL
I20230803001970 CO Practitioner - Nurse Practitioner 9436510211 Reassigns benefits to 1 organization
I20250804002908 MA Practitioner - Nurse Practitioner 9436510211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Behavioral Care New England LLCGroup PAC ID 2860836715, 26 clinicians

Practice addresses (Care Compare)

431 Johnson St
North Andover, MA 01845-4721
Phone (978) 296-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9465893FLMDFamily Nurse Practitioner
APRN11018346FLMDPsychiatric/Mental Health Nurse Practitioner
209.027837ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC Current Accepting new patients
Integrated Behavioral Care New England LLC Psychiatric/Mental Health CurrentSince Apr 28, 2025 Accepting new patients
Achieve Whole Recovery, PC CurrentSince Jul 20, 2023 Accepting new patients
Achieve Whole Recovery PC CurrentSince Jul 20, 2023 Accepting new patients
General Psychological Associates PastSince Jun 1, 2012 Accepting new patients

Locations

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

3 Dundee Park Dr
Ste 203
Andover, MA 01810
Phone (978) 296-5595

Interoperability endpoints

  • Direct secure messaging: kimberly.carias.1@29903.direct.athenahealth.com

Organizations & group practices 5

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1861157406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 NE 211TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791012",
            "telephone_number": "305-528-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 307E",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156107",
            "telephone_number": "305-528-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 NE 211th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331791012",
            "country_code": "US",
            "telephone_number": "305-528-2377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 Opus Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605151164",
            "country_code": "US",
            "telephone_number": "305-528-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARIAS",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9465893",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018346",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.027837",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2383361",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0100998-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.