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KIMBERLY CLARK
NPI 1497236301
Counselor - Mental Health in Tampa, FL

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
4107 W SPRUCE ST STE 100, TAMPA, FL 33607(813) 636-8811(813) 636-8855 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2025, Jun 4, 2025, May 9, 2025 and 6 more (9 updates tracked since 2018).

About Kimberly Clark NPPES

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

KIMBERLY CLARK (NPI 1497236301) is an individual mental health provider in Tampa, Florida, licensed in Florida (MH23885) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497236301
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY CLARK
Location Address4107 W SPRUCE ST STE 100Tampa, FL 33607-2346
Mailing Address4107 W Spruce St Ste 100Tampa, FL 33607-2346 · (813) 636-8811 · Fax (813) 636-8855
Phone(813) 636-8811
Fax(813) 636-8855
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 28, 2018
Last NPPES UpdateSeptember 16, 20259 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1497236301 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 · MH23885
4107 W SPRUCE ST STE 100, Tampa, FL 33607
Open in Google Maps ↗

Other Identifiers 1

Medicaid123343100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446798524
PECOS Enrollment IDI20240820004192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

HECTOR ANTONIO VENTURA JR.
Social Worker (Clinical)
4107 W SPRUCE ST STE 100
TAMPA, FL 33607
Hillsborough County (813) 636-8811
MS. FABRIENNE NATASHA MCDOWELL LMHC
Counselor (Mental Health)
4107 W SPRUCE ST STE 100
TAMPA, FL 33607
Hillsborough County (813) 636-8811
MICHELLE SAUNDERS
Counselor (Mental Health)
4107 W SPRUCE ST STE 100
TAMPA, FL 33607
Hillsborough County (813) 636-8811
VERONICA DIEDRA VEGA
Marriage & Family Therapist
4107 W SPRUCE ST STE 100
TAMPA, FL 33607
Hillsborough County (813) 636-8811
DR. RENE E. VILLA EDD, LMHC
Counselor (Mental Health)
4107 W SPRUCE ST STE 100
TAMPA, FL 33607
Hillsborough County (813) 636-8811
DR. DORIT GOLAN BREITER ARNP
Nurse Practitioner (Psychiatric/Mental Health)
4107 W SPRUCE ST STE 100
TAMPA, FL 33607
Hillsborough County (813) 636-8811
ALEXIA B ALLEN LMHC
Counselor (Mental Health)
4107 W SPRUCE ST STE 100
TAMPA, FL 33607
Hillsborough County (813) 636-8811
VALERIE PAIGE BLACHURA MSW
Social Worker (Clinical)
4107 W SPRUCE ST STE 100
TAMPA, FL 33607
Hillsborough County (813) 636-8811

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 Clark's NPI number?

The NPI number for Kimberly Clark is 1497236301. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Kimberly Clark located?

Kimberly Clark practices at 4107 W Spruce St Ste 100, Tampa, FL 33607. The listed phone number is (813) 636-8811.

What is Kimberly Clark's specialty?

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

Is Kimberly Clark enrolled in Medicare?

Yes. Kimberly Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Clark accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kimberly Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Clark was last updated on September 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.