KIMBERLY QUEEN MOLDT (NPI# 1073710307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073710307 |
| Entity Type | Individual |
| Full Name | KIMBERLY QUEEN MOLDT |
| Credential | M.A. |
| Practice Address |
12600 Belcher Rd S Unit 106f Largo FL 33773-1643 |
| Mailing Address |
2617 Cove Cay Dr Apt 601 Clearwater FL 33760-1328 |
| Practice Telephone | 7274923872 |
| Mailing Telephone | 7274923872 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
MH8213 | FL | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC1452 | WV | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MT2124 | FL | Behavioral Health & Social Service Providers |
| Street Address |
12600 BELCHER RD S UNIT 106F |
| City | LARGO |
| State | FL |
| Zip Code | 33773-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093922080 | John Moldt | Dentist | 12600 Belcher Rd S Unit 106f, Largo, FL 33773-1643 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1700264660 | Logan Kienholz | Behavioral Analyst | 12505 Sarky Rd, Suite G, Largo, FL 33773 | 2015-05-12 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| Find all providers in zip 33773 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681572 | Daine Barlow | Counselor | 3660 E Bay Dr Apt 1316, Largo, FL 33771-1942 | 2020-08-28 |
| 1346866720 | Jordan Stephen Wyns | Counselor | 11220 Oakhurst Rd, Largo, FL 33774-4447 | 2020-06-22 |
| 1922641059 | Jaclyn Settje Settje | Counselor | 1000 10th St Sw, Largo, FL 33770-4433 | 2019-10-22 |
| 1043851850 | Taquera M Riou | Counselor | 13500 Rodgers Ave Apt 308, Largo, FL 33771-4953 | 2019-10-02 |
| 1134774243 | Vaylah B Clinton | Counselor | 9500 Medical Center Dr Ste 106, Largo, MD 20774-3711 | 2019-08-06 |
| 1083273122 | Abbie Rolf | Counselor | 1000 Belcher Rd S Ste 3, Largo, FL 33771-3307 | 2019-06-12 |
| 1457813743 | Jessica Pitt Lombardo | Counselor | 801 W Bay Dr Ste 340, Largo, FL 33770-3220 | 2019-04-04 |
| 1346711363 | Transitions Counseling and Mentoring Services Inc. | Counselor | 9500 Medical Center Dr Ste 432, Largo, MD 20774-3716 | 2018-12-17 |
| 1710455787 | Empowerment Therapeutic Counseling,llc | Counselor | 1401 Mercantile Ln Ste 200l, Largo, MD 20774-4311 | 2018-11-08 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.