MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP) – Mental Health Counselor, NPI 1740225176

Mental Health Counselor

MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP) is a healthcare provider. based in Orange park, Florida. specializing in Mental Health Counselor. They hold the professional credentials M.ED., L.M.H.C.,CAP. They hold a License No. MH7918 (FL). The NPI Number for MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP) is 1740225176

Main info

Female

Name

MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP)

NPI

1740225176

Phone

(904) 264-8311

Address

1536 KINGSLEY AVE

Enumeration Date

19 June 2006

Last Update Date

6 May 2020

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP)

1536, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
SUITE 126
ORANGE PARK, FL 320734587
Phone: (904) 264-8311
Fax: (904) 264-8377
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32073)

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Frequently asked questions

What number should I use to identify MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP) for billing?

Administrative and clinical systems typically use NPI 1740225176 for MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP).

Is MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP) currently accepting referrals based on NPI status?

Registry metadata lists MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP) as active.

What type of care does MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP) provide?

MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP)'s profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.

What geographic area is tied to MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP)?

MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP) is associated with Orange Park, Florida in the same public data insurers reference.

Can I export MRS. KIMBERLY MARIE GYDISH-THEOBALD (M.ED., L.M.H.C.,CAP)'s record?

You can download the official NPPES record; we summarize key fields for readability.