KIMBERLY JULIA LCSW
NPI 1679942031
Counselor - Mental Health in Jacksonville, FL

Active since September 16, 2015Opted out of Medicare · through Nov 21, 2027
1138 EDGEWOOD AVE S, JACKSONVILLE, FL 32205(904) 383-7757 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Julia Lcsw NPPES

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

KIMBERLY JULIA LCSW (NPI 1679942031) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since September 2015. She has opted out of Medicare through November 21, 2027.

NPPES Registry Identity

NPI1679942031
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY JULIACredential: LCSW
Location Address1138 EDGEWOOD AVE SJacksonville, FL 32205-5369
Mailing Address5303 Fremont StJacksonville, FL 32210-4017 · (904) 383-7757
Sole ProprietorYes
Enumeration DateSeptember 16, 2015
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
NPI 1679942031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1138 EDGEWOOD AVE S, Jacksonville, FL 32205

Other Names 1

Former Name (1)Kimberly Bentley Msw

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kimberly Julia Lcsw 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 November 21, 2025 through November 21, 2027.

Opt-Out Effective DateNovember 21, 2025
Opt-Out In Effect ThroughNovember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
1138 EDGEWOOD AVE S
JACKSONVILLE, FL 32205
Marriage & Family Therapist
1138 EDGEWOOD AVE S
JACKSONVILLE, FL 32205
Counselor (Mental Health)
1138 EDGEWOOD AVE S
JACKSONVILLE, FL 32205

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 Julia's NPI number?

The NPI number for Kimberly Julia is 1679942031. It was assigned to this individual provider in the NPPES registry on September 16, 2015. The provider is also known as Kimberly Bentley Msw.

Where is Kimberly Julia located?

Kimberly Julia practices at 1138 Edgewood Ave S, Jacksonville, FL 32205. The listed phone number is (904) 383-7757.

What is Kimberly Julia's specialty?

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

Is Kimberly Julia enrolled in Medicare?

No. Kimberly Julia has opted out of Medicare through November 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kimberly Julia accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kimberly Julia 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 Julia was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.