Kristi Leigh Kimberlin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9149-123 Issued in WI

Practice address

511 Madison Ave
Fort Atkinson, WI 53538-1444

Phone

(920) 541-3078

NPI assigned

Oct 7, 2025

Sex

Female

Sole proprietor

Yes

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.

• Oak Tree Child and Family Services LLC

  • Mental Health Counselor
  • Fort Atkinson, WI
  • NPI 1588198774
  NPD
• Flourish & Thrive Counseling LLC

  • Mental Health Counselor
  • Fort Atkinson, WI
  • NPI 1598688129

  Clinical

  NPD (past)

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1932074168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W9539 GRACE LN",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239754",
            "telephone_number": "317-908-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381444",
            "telephone_number": "920-541-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLIN",
        "first_name": "KRISTI",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9149-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kawleski
• Kees Chiropractic LLC
• Bradley L Kees, DC
• Alvin J. Kempema, D.D.S.
• George Keng, M.D.
• Jeffrey A Kind, DDS
• Tristin King, PT, DPT
• Cheryl A Kinney, AU.D.
• Leeann Kinney, LPC
• Anastasia Kintop

• Clinical Social Worker in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.