Individual provider Active NPI

Kimberly N Dziama, LMHC

  • Mental Health Counselor
  • Wellesley Hills, MA
National Provider Identifier
1972295053
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12366 Issued in MA
Practice address
134 Edmunds Rd
Wellesley Hills, MA 02481-2740
Phone
(781) 771-2463
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12366 MA Primary

Addresses

Primary practice location

134 Edmunds Rd
Wellesley Hills, MA 02481-2740

Mailing address

134 Edmunds Rd
Wellesley Hills, MA 02481-2740
Phone (781) 771-2463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1972295053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EDMUNDS RD",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812740",
            "telephone_number": "781-771-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EDMUNDS RD",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812740",
            "telephone_number": "781-771-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIAMA",
        "first_name": "KIMBERLY",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.