Kynedii Kimble, LMHC, LPC, NCC in Fairfax, VA

Kynedii Kimble, LMHC, LPC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Fairfax, Virginia. Her current practice location is 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (415) 424-4266.

Kynedii Kimble is licensed to practice in Florida (license number MH22903) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780451179.

Contact Information

	Kynedii Kimble, LMHC, LPC, NCC
	8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031-4516
	(415) 424-4266
	(415) 520-6633

Map and Direction

Healthcare Provider's Profile

Full Name	Kynedii Kimble
Gender	Female
Speciality	Counselor - Mental Health
Location	8280 Willow Oaks Corporate Dr Ste 600, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780451179
Provider Enumeration Date: 12/06/2023
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 3476095407
Enrollment ID: I20240606000214

Medical Identifiers

Medical identifiers for Kynedii Kimble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780451179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701013155 (Virginia)	Secondary
101YP2500X	Counselor - Professional	93746 (Texas)	Secondary
101YP2500X	Counselor - Professional	LPC.0020481 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	MH22903 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kynedii Kimble allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kynedii Kimble is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kynedii Kimble, LMHC, LPC, NCC 2423 Sw 147th Ave Ste 2000, Miami, FL 33185-4082 Ph: () -	Kynedii Kimble, LMHC, LPC, NCC 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031-4516 Ph: (415) 424-4266

Reviews and Comments

Counselor in Fairfax, VA

Ms. Saundra Kay Ladd, LPC, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 10195 Main St, Suite N, Fairfax, VA 22031 Phone: 703-591-9600
Erika Lanette Portillo, M.ED, LMHP-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030 Phone: 703-218-6599 Fax: 703-218-2012
Zaria Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St Ste 250, Fairfax, VA 22030 Phone: 703-782-3710
Laura Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13130 Maltese Ln, Fairfax, VA 22033 Phone: 571-317-1597
Autumn Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030 Phone: 757-942-5140
Margaret Maxwell, RESIDENT COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 9677 Main St # A-b, Fairfax, VA 22031 Phone: 202-964-1209
Kelly Bauer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11200 Waples Mill Rd, Suite 180, Fairfax, VA 22030 Phone: 703-383-8333 Fax: 703-383-3183

Kynedii Kimble, LMHC, LPC, NCC - Medicare Counselor in Fairfax, VA