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MRS. KIMBERLEY BENNETT NUTRITIONIST
NPI 1790360485
Counselor - Mental Health in Wilkesboro, NC

Active since March 14, 2021
1260 COLLEGE AVE STE 1, WILKESBORO, NC 28697(336) 818-0733 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Mar 14, 2021 (2 updates tracked since 2021).

About Mrs. Kimberley Bennett Nutritionist NPPES

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

MRS. KIMBERLEY BENNETT NUTRITIONIST (NPI 1790360485) is an individual mental health provider in Wilkesboro, North Carolina, licensed in North Carolina (A22363) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1790360485
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KIMBERLEY BENNETTCredential: NUTRITIONIST
Location Address1260 COLLEGE AVE STE 1Wilkesboro, NC 28697-2700
Mailing Address1260 College Ave Ste 1Wilkesboro, NC 28697-2700 · (336) 818-0733
Phone(336) 818-0733
Sole ProprietorNo
Enumeration DateMarch 14, 2021
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1790360485 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 NC · A22363
1260 COLLEGE AVE STE 1, Wilkesboro, NC 28697
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Other Names 1

Former Name (1)Miss Kimberley Jordan Nutritionist

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.

ERICA FALLS LCSWA
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Wilkes County (336) 818-0733
SANDRA ELIZETH ROMERO HERNANDEZ LCSW
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Wilkes County (336) 818-0733
JODI PROVINCE COUNSELING SERVICES PLLC
Counselor (Mental Health)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Wilkes County (336) 818-0733
LORENZ VASSA FALLS
Counselor (Mental Health)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Wilkes County (336) 818-0734
RACHAEL MICHELLE EVERETT LCSWA
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Wilkes County (336) 818-0733
MORGANNE RAYO LCSW, LCAS
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Wilkes County (336) 818-0733
ASHLEY DYER
Counselor (Professional)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Wilkes County (336) 818-0733
MR. PHILIP A PFUELB LCSWA
Social Worker (Clinical)
1260 COLLEGE AVE STE 1
WILKESBORO, NC 28697
Wilkes County (336) 818-0733

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 Kimberley Bennett's NPI number?

The NPI number for Kimberley Bennett is 1790360485. It was assigned to this individual provider in the NPPES registry on March 14, 2021. The provider is also known as Miss Kimberley Jordan Nutritionist.

Where is Kimberley Bennett located?

Kimberley Bennett practices at 1260 College Ave Ste 1, Wilkesboro, NC 28697. The listed phone number is (336) 818-0733.

What is Kimberley Bennett's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberley Bennett was last updated on December 18, 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.