Individual provider Active NPI

Kimberly Kirstin Elbirt, PHD, MA, LMHC, LMT

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1932119948
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6079 Issued in MA
Practice address
48 Cedar St
Worcester, MA 01609
Phone
(774) 701-0260
NPI assigned
Aug 9, 2006
Last updated
May 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6079 MA Primary
Professional Counselor 101YP2500X 6079 MA

Addresses

Primary practice location

48 Cedar St
Worcester, MA 01609

Mailing address

PO Box 2225
4 E Central St.
Worcester, MA 01613-2225
Phone (774) 701-0620

Other practice location 1

411 Chandler St
Worcester, MA 01602-3339
Phone (508) 799-0688

Other names 1

  • Kimberly Kirstin Gabis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 22, 2025 through Sep 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6079MAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1932119948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2225",
            "address_2": "4 E CENTRAL ST.",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016132225",
            "telephone_number": "774-701-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CEDAR ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "774-701-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Chandler St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016023339",
            "country_code": "US",
            "telephone_number": "508-799-0688",
            "fax_number": "508-752-0469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELBIRT",
        "first_name": "KIMBERLY",
        "middle_name": "KIRSTIN",
        "credential": "PHD, MA, LMHC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6079",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "6079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GABIS",
            "middle_name": "KIRSTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.