Kimberleigh Marie Mubarak, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701014318 Issued in VA

Practice address

601 Childrens LN
Norfolk, VA 23507-1971

Phone

(757) 668-4673

NPI assigned

Jan 6, 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

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.

• Rivers of Hope Counseling Center LLC

  • Mental Health Counselor
  • Chantilly, VA
  • NPI 1922607977

  Professional

  NPD (past)

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1912716721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071971",
            "telephone_number": "757-668-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071971",
            "telephone_number": "757-668-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23507",
            "country_code": "US",
            "telephone_number": "757-668-4673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4229 Lafayette Center Dr Ste 1675",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511270",
            "country_code": "US",
            "telephone_number": "855-326-4673",
            "fax_number": "703-842-8130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUBARAK",
        "first_name": "KIMBERLEIGH",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Movement Is Medicine Physical Therapy and Sports Performance
• Abigail Katherine Mowers, LCSW
• Kelsey Lynn Mowery, MD
• Charles Marshall Mozena, ATC, LAT
• Jean-Marie Kakubudia Mpoy Kanyinda, MD
• Joseph Robert Muckenthaler, DDS
• Ivan Kenneth Muhlendorf, M.D.
• Kimberly Anne Mulholland, PT
• Paul Mullan, MD
• Heather Brittany Mullaney, MS, CCC-SLP

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.