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KIMONE MONIQUE WEDDERBURN
NPI 1508385535
Counselor in Springfield, MA

Active since September 11, 2017
110 MAPLE ST, SPRINGFIELD, MA 01105(413) 732-7419(413) 781-1059 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 11, 2017 (2 updates tracked since 2017).

About Kimone Monique Wedderburn NPPES

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

KIMONE MONIQUE WEDDERBURN (NPI 1508385535) is an individual counselor in Springfield, Massachusetts and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1508385535
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMONE MONIQUE WEDDERBURN
Location Address110 MAPLE STSpringfield, MA 01105-1864
Mailing Address110 Maple StSpringfield, MA 01105-1864 · (413) 732-7419 · Fax (413) 781-1059
Phone(413) 732-7419
Fax(413) 781-1059
Sole ProprietorNo
Enumeration DateSeptember 11, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1508385535 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.
110 MAPLE ST, Springfield, MA 01105
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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.

GUSTAVO ADOLFO GUEVARA
Counselor (Mental Health)
110 MAPLE ST
SPRINGFIELD, MA 01105
Hampden County (413) 736-0127
REBECCA R WHITTEN
Counselor
110 MAPLE ST
SPRINGFIELD, MA 01105
Hampden County (413) 732-7419
CAREY JARVIS-TUCKEY
Behavior Technician
110 MAPLE ST
SPRINGFIELD, MA 01105
Hampden County (413) 331-6437
MR. TAMARA J BLAKE-OWENS M.ED
Counselor (Mental Health)
110 MAPLE ST
SPRINGFIELD, MA 01105
Hampden County (413) 732-7419
BERNITA R.S. MOULTRIE
Counselor
110 MAPLE ST
SPRINGFIELD, MA 01105
Hampden County (413) 732-7419
ALEXANDER FIGUEROA
Behavior Technician
110 MAPLE ST
SPRINGFIELD, MA 01105
Hampden County (413) 342-8997
MRS. GLADYS MERCEDES WAWRZASZEK CLINICIAN
Counselor (Mental Health)
110 MAPLE ST
SPRINGFIELD, MA 01105
Hampden County (413) 732-7419
TEYNNA D VALERO
Counselor
110 MAPLE ST
SPRINGFIELD, MA 01105
Hampden County (413) 302-4427

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 Kimone Wedderburn's NPI number?

The NPI number for Kimone Wedderburn is 1508385535. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Kimone Wedderburn located?

Kimone Wedderburn practices at 110 Maple St, Springfield, MA 01105. The listed phone number is (413) 732-7419.

What is Kimone Wedderburn'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 Kimone Wedderburn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.