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KIMBERLY CARROLL
NPI 1689035750
Counselor in San Rafael, CA

Active since March 16, 2016
4020 CIVIC CENTER DR, SAN RAFAEL, CA 94903(415) 491-2348 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Carroll NPPES

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

KIMBERLY CARROLL (NPI 1689035750) is an individual counselor in San Rafael, California and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1689035750
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY CARROLL
Location Address4020 CIVIC CENTER DRSan Rafael, CA 94903-4173
Mailing Address4020 Civic Center DrSan Rafael, CA 94903-4173 · (415) 491-2348
Phone(415) 491-2348
Sole ProprietorNo
Enumeration DateMarch 16, 2016
✔ NPI 1689035750 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.
4020 CIVIC CENTER DR, San Rafael, CA 94903
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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.

ERNEST GUOMAS LMFT
Marriage & Family Therapist
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2574
DR. BRIAN DOUGLAS PHIFER
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 758-5272
JESSICA BAILEY
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 444-9662
KATHLEEN MARIE MORAN
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2594
CORA DAVIS
Rehabilitation Practitioner
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2525
DUNYA GILMORE
Marriage & Family Therapist
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2540
HASAN ALY
Counselor (Mental Health)
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2584
ANGELA M STRUCKMANN
Counselor (Mental Health)
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2575

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 Carroll's NPI number?

The NPI number for Kimberly Carroll is 1689035750. It was assigned to this individual provider in the NPPES registry on March 16, 2016.

Where is Kimberly Carroll located?

Kimberly Carroll practices at 4020 Civic Center Dr, San Rafael, CA 94903. The listed phone number is (415) 491-2348.

What is Kimberly Carroll'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 Kimberly Carroll was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.