Kimberly Hines - Medicare Mental Health Clinic in St Petersburg, FL

Kimberly Hines is a medicare enrolled mental health clinic (Community/behavioral Health) in St Petersburg, Florida. The current practice location for Kimberly Hines is 7901 4th St N Ste 300, St Petersburg, Florida. For appointments, you can reach them via phone at (813) 389-7518. The mailing address for Kimberly Hines is Po Box 315, Brandon, Florida and phone number is (863) 420-5134.

Kimberly Hines is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366116873. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (813) 389-7518.

Contact Information

Kimberly Hines
7901 4th St N Ste 300
St Petersburg
FL 33702-4399
(813) 389-7518
Not Available

Mental Health Clinic Profile

Full NameKimberly Hines
SpecialityCommunity/Behavioral Health
Location7901 4th St N Ste 300, St Petersburg, Florida
Authorized Official Name and PositionKimberly Hines (OWNER)
Authorized Official Contact8634205134
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Hines
Po Box 315
Brandon
FL 33509-0315

Ph: (863) 420-5134
Kimberly Hines
7901 4th St N Ste 300
St Petersburg
FL 33702-4399

Ph: (813) 389-7518

NPI Details:

NPI Number1366116873
Provider Enumeration Date08/07/2021
Last Update Date04/25/2023
Certification Date04/25/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7012313653
Medicare Enrollment IDO20210908001384

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Medical Identifiers

Medical identifiers for Kimberly Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366116873NPI-NPPES
111652900MedicaidFL
1245824440OtherFLCLINICAL SOCIAL WORKER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kimberly Hines acts as a billing entity for following providers:
Provider NameKimberly M Hines
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245824440
PECOS PAC ID: 5294131967
Enrollment ID: I20210903000585

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Community/Behavioral Health in St Petersburg, FL

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Florida Lighthouse Counseling Center
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Medicare: Not Enrolled in Medicare
Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702
Phone: 786-281-7681    
Anxiety Treatment Specialists
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7901 4th St N # 17648, St Petersburg, FL 33702
Phone: 239-376-1953    
Florida Advocacy Group, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702
Phone: 813-576-9914    Fax: 813-212-4418
Apt Associates - A Consult Group
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Medicare: Not Enrolled in Medicare
Practice Location: 695 Central Ave, Ste 150f, St Petersburg, FL 33701
Phone: 727-490-2020    Fax: 727-490-2015
Juvenile Out Patient
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Medicare: Not Enrolled in Medicare
Practice Location: 6720 54th Ave N, St Petersburg, FL 33709
Phone: 727-547-4508    Fax: 727-524-4345
The Luminescent Mind, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 7901 4th St N Ste 4000, St Petersburg, FL 33702
Phone: 786-266-0108    

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