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

Individual provider Professional Counselor · NPI 1669946430

Kimberly Gruber, MA, LPC, NCC is a Mental Health Counselor in Fenton, Michigan. Graduated from Un of California, Irvine, College of Medicine in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
36
Trained at
Un of California, Irvine, College of Medicine
Licensed in
MI
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

110 Trealout Dr Ste 104
Fenton, MI 48430-3211
Phone: (810) 333-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401015583 (MI)

Record details

NPI number1669946430
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , NCC
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESJanuary 15, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolUN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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