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

Kimberly Clark

Individual provider Mental Health Counselor · NPI 1497236301

Kimberly Clark is a Mental Health Counselor in Tampa, Florida. Qualified in 2019, 7 years ago. Practices with Neuropsychiatric Institute, LLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

4107 W Spruce St Ste 100
Tampa, FL 33607-2346
Phone: (813) 636-8811
Fax: (813) 636-8855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH23885 (FL)

Record details

NPI number1497236301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2018
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Neuropsychiatric Institute, Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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