KAITLIN KIMMEL LPCC
NPI 1700541679
Counselor - Professional in Petaluma, CA
Active since November 04, 2021
About Kaitlin Kimmel Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN KIMMEL LPCC (NPI 1700541679) is an individual professional provider in Petaluma, California, licensed in California (LPCC17791) and active in the NPI registry since November 2021.
NPPES Registry Identity
NPI1700541679
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAITLIN KIMMELCredential: LPCC
Location Address755 BAYWOOD DR FL 2Petaluma, CA 94954-5510
Mailing Address755 Baywood Dr Fl 2Petaluma, CA 94954-5510
Phone(415) 483-9195
Fax(415) 480-8340
Sole ProprietorYes
Enumeration DateNovember 4, 2021
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1700541679 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 CA · LPCC17791
755 BAYWOOD DR FL 2, Petaluma, CA 94954
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.
Psychologist (Intellectual and Developmental Disabilities)
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
PETALUMA, CA 94954
Psychologist (Intellectual and Developmental Disabilities)
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
PETALUMA, CA 94954
Internal Medicine (Rheumatology)
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
PETALUMA, CA 94954
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700541679, enumerated as an "individual" on November 04, 2021.
The provider is located at 755 BAYWOOD DR FL 2 PETALUMA, CA 94954 and the phone number is (415) 483-9195.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
