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KIMBERLY C FONVILLE
NPI 1336765536
Counselor in Jackson, MS

Active since June 23, 2020
860 E RIVER PL STE 100, JACKSON, MS 39202(769) 251-5550 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly C Fonville NPPES

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

KIMBERLY C FONVILLE (NPI 1336765536) is an individual counselor in Jackson, Mississippi and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1336765536
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY C FONVILLE
Location Address860 E RIVER PL STE 100Jackson, MS 39202-3442
Mailing Address860 E River Pl Ste 100Jackson, MS 39202-3442 · (769) 251-5550
Phone(769) 251-5550
Sole ProprietorNo
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1336765536 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.
860 E RIVER PL STE 100, Jackson, MS 39202
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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.

DIANE LOIS SANFORD
Counselor
860 E RIVER PL STE 100
JACKSON, MS 39202
Hinds County (769) 251-5550
JESSICA ELIZABETH BEAURAIN
Social Worker
860 E RIVER PL STE 100
JACKSON, MS 39202
Hinds County (769) 251-5550
MS. DELESIA S WALKER
Counselor (Mental Health)
860 E RIVER PL STE 100
JACKSON, MS 39202
Hinds County (769) 251-5550
JARROD HUCKLEBY
Counselor (Mental Health)
860 E RIVER PL STE 100
JACKSON, MS 39202
Hinds County (769) 251-5550
TESIA THEODORA SUTTON
Case Manager/Care Coordinator
860 E RIVER PL STE 100
JACKSON, MS 39202
Hinds County (769) 251-5550
MRS. ASHUENA STENAE COTTEN
Counselor
860 E RIVER PL STE 100
JACKSON, MS 39202
Hinds County (769) 251-5550
JENNIFER ROSHEAL LEWIS ADC, PCMHT
Counselor
860 E RIVER PL STE 100
JACKSON, MS 39202
Hinds County (769) 251-5550
TIFFANY KIRKSEY
Counselor
860 E RIVER PL STE 100
JACKSON, MS 39202
Hinds County (601) 342-8215

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 Fonville's NPI number?

The NPI number for Kimberly Fonville is 1336765536. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Kimberly Fonville located?

Kimberly Fonville practices at 860 E River Pl Ste 100, Jackson, MS 39202. The listed phone number is (769) 251-5550.

What is Kimberly Fonville'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 Fonville was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.