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KIMBERLY ANN TACK
NPI 1326546318
Counselor in Providence, RI

Active since January 25, 2018
530 N MAIN ST, PROVIDENCE, RI 02904(401) 276-4020 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Ann Tack NPPES

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

KIMBERLY ANN TACK (NPI 1326546318) is an individual counselor in Providence, Rhode Island and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1326546318
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY ANN TACK
Location Address530 N MAIN STProvidence, RI 02904-5762
Mailing Address530 N Main StProvidence, RI 02904-5762 · (401) 276-4020
Phone(401) 276-4020
Sole ProprietorNo
Enumeration DateJanuary 25, 2018
✔ NPI 1326546318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
530 N MAIN ST, Providence, RI 02904
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Other Providers at the Same Location NPPES 20

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

OLIVIA MEUNIER MA
Counselor
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 274-2500
MISS ASHLEY L ADDISON BA, LCDP, CCSP
Counselor (Addiction (Substance Use Disorder))
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 276-4100
TASHANA K LEOTTO
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 383-5129
MARTA M LOPEZ NAPOLEONI M.S., LMHC
Counselor (Mental Health)
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 528-0110
MRS. MELISSA H POLANCO LMHC, LCDP
Counselor (Mental Health)
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 528-0110
DAWN M WHITMORE RN
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 274-2500
ALLYSON PELLEGRINO RN
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 276-4100
MELISSA CRUZ
Counselor
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 274-2500

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 Tack's NPI number?

The NPI number for Kimberly Tack is 1326546318. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Kimberly Tack located?

Kimberly Tack practices at 530 N Main St, Providence, RI 02904. The listed phone number is (401) 276-4020.

What is Kimberly Tack's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Tack was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.