Individual provider Active NPI

Kimberly L Allison, LMHC, NCC

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1871118463
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17929 Issued in FL
Practice address
6350 Davis Blvd # 1001
Naples, FL 34104-5323
Phone
(239) 658-3000
NPI assigned
Jun 10, 2020
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 MH17929 FL Primary

Addresses

Primary practice location

6350 Davis Blvd # 1001
Naples, FL 34104-5323

Mailing address

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240326001899 FL Practitioner - Mental Health Counselor 8628415676 Reassigns benefits to 2 organizations
I20250506002540 AZ Practitioner - Mental Health Counselor 8628415676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17929FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Health Services Inc CurrentSince Oct 20, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 5, 2024 Accepting new patients
Collier Health Services, Inc CurrentSince Mar 26, 2024 Accepting new patients
Collier Health Services Inc CurrentSince Mar 26, 2024 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Jun 1, 2020 Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc PastSince Apr 14, 2024 Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Henderson Behavioral Health, Inc. PastSince Jun 1, 2020 Accepting new patients
Collier Health Services Inc Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

125 Boston Ave
Immokalee, FL 34142
Phone (239) 657-5800

1441 Heritage Blvd
Immokalee, FL 34142
Phone (239) 624-8050

1454 Madison Ave W
Immokalee, FL 34142
Phone (239) 658-3064

1454 Madison Ave W
Unit 3
Immokalee, FL 34142

1454 Madison Ave W
Unit 4
Immokalee, FL 34142

508 N 9th St
Unit 142
Immokalee, FL 34142
Phone (239) 657-6363

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1090 6th Ave N
Naples, FL 34102
Phone (239) 213-9200

1265 Creekside Pkwy
Ste 206
Naples, FL 34108
Phone (239) 591-2125

12655 Collier Blvd
Naples, FL 34116
Phone (239) 571-9015

1845 Veterans Park Dr
Naples, FL 34109
Phone (239) 571-9015

1920 Manatee Rd
Naples, FL 34114

2355 Stanford Ct
Ste 701
Naples, FL 34112

5450 Ymca Rd
#102
Naples, FL 34109

6350 Davis Blvd
#1001
Naples, FL 34104
Phone (239) 658-3713

6350 Davis Blvd
Unit 1001
Naples, FL 34104

9160 Galleria Ct
Naples, FL 34109
Phone (239) 514-8787

Organizations & group practices 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1871118463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 DAVIS BLVD # 1001",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045323",
            "telephone_number": "239-658-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.