Kimberly Ann Draper, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-21680 Issued in AZ

Practice address

301 E 4TH St
Safford, AZ 85546-2074

Phone

(928) 792-4242

NPI assigned

Feb 9, 2023

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Ann Davidson Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.draper.p1@direct.cpi.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1669897385
  Medicare reassignment NPD
• Community Partners Integrated Healthcare Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1558020503
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Benson, AZ
  • NPI 1821390360
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Safford, AZ
  • NPI 1619279155
  NPD (past)
• Trinity West

  dba Trinity Family Care Centers

  • Family Medicine Physician
  • Steubenville, OH
  • NPI 1043234677
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1003513029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 4TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462074",
            "telephone_number": "928-792-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 4TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462074",
            "telephone_number": "928-792-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-21680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DAVIDSON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kami Lyn Dolan, RN
• Douglas G. Harrison MD, PC (DBA Rex OBGYN)
• Dovetree Counseling Associates, Inc.
• Dovetreecounseling Associates, Inc.
• Mick Gene Drage, PA-C
• DSW Enterprises Inc (Walton Drug)
• Alexander Eddo, PHAMD
• Eden Home Health of Safford, LLC (Eden Home Health)
• Eden Hospice at Sierra Vista, LLC (Eden Hospice)
• John Kevin Ekman, FNP- C, PMHNP

• Professional Counselor in Safford, AZ
• Providers in Safford, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.