Kimberly Gail Carmichael, LMHC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MHC01700 Issued in RI

Practice address

1 Richmond SQ Ste 350W
Providence, RI 02906-5165

Phone

(401) 227-0372

Fax

(877) 455-9466

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

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

Other names 1

• Khymberly Carmichael Other name

Medicare fee-for-service enrollment

Enrolled in RI

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 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Om Therapy

  dba East Coast Mental Wellness

  • Clinical Social Worker
  • Providence, RI
  • NPI 1336591494
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1891523668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 350W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065165",
            "telephone_number": "401-227-0372",
            "fax_number": "877-455-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 350W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065165",
            "telephone_number": "401-227-0372",
            "fax_number": "877-455-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "KIMBERLY",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MHC01700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHYMBERLY",
            "last_name": "CARMICHAEL",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Patricia Carl, RI
• Rebecca Joy Carley, RNP
• David Carlsen-Landy, MD
• Patricia A Carlson, NP
• Patricia A Carlson, EARLY CHILDHOOD EDSC
• Elizabeth Carmona, RN
• Benedito A. Carneiro, MD
• Celeste Carney, RN
• Karen L Carney, OTR/L CHT
• Alyson Caron-Huber, OTR/L

• Marriage & Family Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Marriage & Family Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.