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

Q: What is Kimberley Robertson's NPI number?

The NPI number for Kimberley Robertson is 1346897683. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Q: What is Kimberley Robertson's specialty?

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

Q: Is Kimberley Robertson enrolled in Medicare?

No. Kimberley Robertson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since August 21, 2019Opted out of Medicare · through Apr 1, 2028

3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068(904) 291-5561(904) 291-5575 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2020, Aug 22, 2019 (2 updates tracked since 2019).

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About Kimberley Robertson NPPES

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

KIMBERLEY ROBERTSON (NPI 1346897683) is an individual mental health provider in Middleburg, Florida, licensed in Florida (MH17233) and active in the NPI registry since August 2019. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1346897683

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLEY ROBERTSON

Location Address3292 COUNTY ROAD 220Middleburg, FL 32068-4357

Mailing Address1726 Kingsley Ave Ste 2Orange Park, FL 32073-4411 · (904) 278-5644 · Fax (904) 278-5659

Phone(904) 291-5561

Fax(904) 291-5575

Sole ProprietorNo

Enumeration DateAugust 21, 2019

Last NPPES UpdateJanuary 6, 20202 updates tracked since enumeration

✔ NPI 1346897683 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 · MH17233

3292 COUNTY ROAD 220, Middleburg, FL 32068

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Kimberley Robertson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

KEISHLA HUERTAS-GONZALEZ LCSW

Social Worker (Clinical)