Individual provider Active NPI

Kimere K Corthell, LPC, LMHC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1982943569
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20744 Issued in FL
Practice address
4810 12TH Ave S
St Petersburg, FL 33711-2312
Phone
(843) 737-1962
NPI assigned
Feb 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 MH20744 FL Primary
Professional Counselor 101YP2500X LPC.0021797 CO

Addresses

Primary practice location

4810 12TH Ave S
St Petersburg, FL 33711-2312

Mailing address

4810 12TH Ave S
St Petersburg, FL 33711-2312
Phone (843) 737-1962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0021797COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Key Counseling and Supervision Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 21, 2025 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1982943569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 12TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337112312",
            "telephone_number": "843-737-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 12TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337112312",
            "telephone_number": "843-737-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTHELL",
        "first_name": "KIMERE",
        "middle_name": "K",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-02",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20744",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0021797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.