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KIMBERLY BRANDL
NPI 1003323262
Counselor - Mental Health in Syracuse, NY

Active since January 09, 2018Opted out of Medicare · through Jan 1, 2028
202 WALTON ST STE 200, SYRACUSE, NY 13202(315) 204-0610(315) 260-4332 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Jan 9, 2018 (2 updates tracked since 2018).

About Kimberly Brandl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY BRANDL (NPI 1003323262) is an individual mental health provider in Syracuse, New York, licensed in New York (PO3869) and active in the NPI registry since January 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1003323262
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY BRANDL
Location Address202 WALTON ST STE 200Syracuse, NY 13202-1373
Mailing Address141 County Route 23aConstantia, NY 13044-3737 · (315) 204-0610 · Fax (315) 260-4332
Phone(315) 204-0610
Fax(315) 260-4332
Sole ProprietorNo
Enumeration DateJanuary 9, 2018
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1003323262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · PO3869
202 WALTON ST STE 200, Syracuse, NY 13202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly Brandl has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WITH HEART WITH SOUL THERAPY LCSW PLLC
Social Worker (Clinical)
202 WALTON ST STE 200
SYRACUSE, NY 13202
Onondaga County (315) 944-0007
SHELLIE J RIZZA NP
Nurse Practitioner (Family)
202 WALTON ST STE 200
SYRACUSE, NY 13202
Onondaga County (315) 882-0795
DR. MEGAN NOEL RYNKIEWICZ DC
Chiropractor
202 WALTON ST STE 200
SYRACUSE, NY 13202
Onondaga County (315) 877-1979
TATIANA ROYAL-WILLIAMS LCSW
Social Worker (Clinical)
202 WALTON ST STE 200
SYRACUSE, NY 13202
Onondaga County (315) 944-0007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Brandl's NPI number?

The NPI number for Kimberly Brandl is 1003323262. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Kimberly Brandl located?

Kimberly Brandl practices at 202 Walton St Ste 200, Syracuse, NY 13202. The listed phone number is (315) 204-0610.

What is Kimberly Brandl's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Brandl enrolled in Medicare?

No. Kimberly Brandl has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Brandl was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.