KIMBERLEY PAVLAK LCMHC, LCAS
NPI 1073094389
Counselor - Professional in Wake Forest, NC

Q: What is Kimberley Pavlak's NPI number?

The NPI number for Kimberley Pavlak is 1073094389. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Q: What is Kimberley Pavlak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kimberley Pavlak was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 24, 2018

1513 REYNOLDS MILL RD, WAKE FOREST, NC 27587(984) 230-9687 Get Directions Write a Review

NPPES record last updated: October 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2022, Oct 3, 2018, Aug 24, 2018 (3 updates tracked since 2018).

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About Kimberley Pavlak Lcmhc, Lcas NPPES

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

KIMBERLEY PAVLAK LCMHC, LCAS (NPI 1073094389) is an individual professional provider in Wake Forest, North Carolina, licensed in North Carolina (13749) and active in the NPI registry since August 2018. She maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1073094389

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIMBERLEY PAVLAKCredential: LCMHC, LCAS

Location Address1513 REYNOLDS MILL RDWake Forest, NC 27587-5613

Mailing Address8362 Six Forks Rd Ste 102Raleigh, NC 27615-5086 · (984) 230-9687

Phone(984) 230-9687

Sole ProprietorNo

Enumeration DateAugust 24, 2018

Last NPPES UpdateOctober 1, 20233 updates tracked since enumeration

NPPES CertifiedOctober 1, 2023

✔ NPI 1073094389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 13749

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 25270 (NC)

1513 REYNOLDS MILL RD, Wake Forest, NC 27587

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Secondary Practice Location 1

Location 18362 Six Forks Rd Ste 102Raleigh, NC 27615-5086 · Phone (984) 230-9687

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Kimberley Pavlak's NPI number?

The NPI number for Kimberley Pavlak is 1073094389. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Kimberley Pavlak located?

Kimberley Pavlak practices at 1513 Reynolds Mill Rd, Wake Forest, NC 27587. The listed phone number is (984) 230-9687.

What is Kimberley Pavlak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kimberley Pavlak accept?

Health plans from Blue Cross and Blue Shield of NC list Kimberley Pavlak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberley Pavlak was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.