KIMBERLY LACKEY WILSON RMHCI
NPI 1295600724
Counselor - Mental Health in Tampa, FL

Active since October 06, 2025
3502 HENDERSON BLVD STE 229, TAMPA, FL 33609(813) 603-6083 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kimberly Lackey Wilson Rmhci NPPES

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

KIMBERLY LACKEY WILSON RMHCI (NPI 1295600724) is an individual mental health provider in Tampa, Florida, licensed in Florida (IMH28150) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1295600724
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY LACKEY WILSONCredential: RMHCI
Location Address3502 HENDERSON BLVD STE 229Tampa, FL 33609-3999
Mailing Address701 S Howard Ave # 106-137Tampa, FL 33606-2473
Sole ProprietorYes
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1295600724 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 FL · IMH28150
3502 HENDERSON BLVD STE 229, Tampa, FL 33609

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wilson's NPI number?

The NPI number for Kimberly Wilson is 1295600724. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Kimberly Wilson located?

Kimberly Wilson practices at 3502 Henderson Blvd Ste 229, Tampa, FL 33609. The listed phone number is (813) 603-6083.

What is Kimberly Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Wilson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.