KIMBERLEY ROBERTSON
NPI 1346897683
Counselor - Mental Health in Middleburg, FL

NPI Status: Active since August 21, 2019

Contact Information

3292 COUNTY ROAD 220
MIDDLEBURG, FL
ZIP 32068
Phone: (904) 291-5561
Fax: (904) 291-5575

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Opted-Out Medicare

About KIMBERLEY ROBERTSON

This page provides the complete NPI Profile along with additional information for Kimberley Robertson, a provider established in Middleburg, Florida with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1346897683 assigned on August 2019. The practitioner's primary taxonomy code is 101YM0800X with license number MH17233 (FL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1346897683
Provider Name
KIMBERLEY ROBERTSON
Gender
Female
Entity Type
Individual
Location Address
3292 COUNTY ROAD 220 MIDDLEBURG, FL 32068
Location Phone
(904) 291-5561
Location Fax
(904) 291-5575
Mailing Address
1726 KINGSLEY AVE STE 2 ORANGE PARK, FL 32073
Mailing Phone
(904) 278-5644
Mailing Fax
(904) 291-5575
Is Sole Proprietor?
No
Enumeration Date
08-21-2019
Last Update Date
01-06-2020
Code Navigator

A mental health counselor like Kimberley Robertson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberley Robertson opted out of Medicare effective on 04-01-2024 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
MH17233
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-01-2024

  • Opt-Out End Date: 04-01-2026

  • Eligible to Order and Refer? No

Reviews for KIMBERLEY ROBERTSON

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346897683, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 1 + 6 + 9 + 1 + 4 + 6 + 1 + 6 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1346897683.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Case Manager/Care Coordinator
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Nurse Practitioner (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Marriage & Family Therapist
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Psychiatry & Neurology (Psychiatry)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Counselor (Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Registered Nurse (Psychiatric/Mental Health)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068
Social Worker (Clinical)
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346897683, enumerated as an "individual" on August 21, 2019.

The provider is located at 3292 COUNTY ROAD 220 MIDDLEBURG, FL 32068 and the phone number is (904) 291-5561.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.