Laura Camille Kimball, PPS

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

250031648 Issued in CA

Practice address

1500 D St
Antioch, CA 94509-2346

Phone

(541) 821-0063

NPI assigned

Feb 13, 2025

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

State licenses

Practice roles

Locations

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.

• Lincoln

  • Community/Behavioral Health Agency
  • Antioch, CA
  • NPI 1326781303
  NPD

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1871398990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 D ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092346",
            "telephone_number": "925-779-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 D ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092346",
            "telephone_number": "541-821-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "LAURA",
        "middle_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "250031648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haemin Kim
• Peter Kim
• Suhji Kim, MD
• Timothy Y Kim, DMD
• Young Min Kim, M.D.
• Haley King
• Janet Frost King
• Lindsley Kinser
• John-Patrick Kirby, MFCC
• Becky Kirkbride, MFCC

• School Counselor in Antioch, CA
• Providers in Antioch, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.