Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberley Anne Backstrom

Individual provider Mental Health Counselor · NPI 1447714647

Kimberley Anne Backstrom is a Mental Health Counselor in Las Vegas, Nevada. Licensed in California and Nevada. Registered with an NPI since 2019.

Licensed in
CA, NV
In the registry since
2019
Specialties on file
2

Practice location Address checks out

300 E Charleston Blvd Ste 216
Las Vegas, NV 89104-1042
Phone: (702) 247-1145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 1358P-S (NV)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW87254 (CA)

Record details

NPI number1447714647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2019
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020

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