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KIMBERLY B WALLER MA, LPC
NPI 1417233073
Counselor - Professional in Raleigh, NC

Active since October 27, 2011
107 SUNNYBROOK RD, WAKE BROOK BUILDING, RALEIGH, NC 27610(919) 747-0507(919) 747-0577 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kimberly B Waller Ma, Lpc NPPES

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

KIMBERLY B WALLER MA, LPC (NPI 1417233073) is an individual professional provider in Raleigh, North Carolina, licensed in North Carolina (7498) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1417233073
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY B WALLERCredential: MA, LPC
Location Address107 SUNNYBROOK RD, WAKE BROOK BUILDINGRaleigh, NC 27610-1827
Mailing Address107 Sunnybrook Rd, Wake Brook BuildingRaleigh, NC 27610-1827 · (919) 747-0507 · Fax (919) 747-0577
Phone(919) 747-0507
Fax(919) 747-0577
Sole ProprietorNo
Enumeration DateOctober 27, 2011
✔ NPI 1417233073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 7498
107 SUNNYBROOK RD, Raleigh, NC 27610
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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.

KIMBERLY OKAFOR RN
Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 278-2687
UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Pharmacy (Institutional Pharmacy)
107 SUNNYBROOK RD, SUITE B
RALEIGH, NC 27610
Wake County (984) 974-4840
MALORY OVERTON WINDHAM LCSW
Social Worker (Clinical)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (252) 315-2456
JONATHAN CONYERS LEVINE
Social Worker (Clinical)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (984) 974-4800
EUGENE SHELBY WALTON
Counselor
107 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (704) 939-1100
THEODORE ZARZAR M.D.
Psychiatry & Neurology (Psychiatry)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (984) 974-4800
KWADWO OYINKA DANKWA R.N.
Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (704) 939-1100
SALOME WILLIAMS PARKER RN
Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (704) 939-1100

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 Waller's NPI number?

The NPI number for Kimberly Waller is 1417233073. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Where is Kimberly Waller located?

Kimberly Waller practices at 107 Sunnybrook Rd Wake Brook Building, Raleigh, NC 27610. The listed phone number is (919) 747-0507.

What is Kimberly Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kimberly Waller was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.