Provider Demographics
NPI:1538717004
Name:TOMPKINS, KIMBERLY DARLENE (LMHC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DARLENE
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BOTTS CT
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3101
Mailing Address - Country:US
Mailing Address - Phone:978-816-8773
Mailing Address - Fax:
Practice Address - Street 1:95 RANTOUL ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4215
Practice Address - Country:US
Practice Address - Phone:978-816-8773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9005101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health