Active NPI
Kim Robinson, LPC
- Professional Counselor
- New London, MO
National Provider Identifier
1033168141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2001004275
- Practice address
- 12662 Saverton West Dr
New London, MO 63459-3639 - Phone
- (573) 248-7176
- NPI assigned
- May 8, 2006
- Last updated
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2001004275 | MO | Primary |
Addresses
Primary practice location
12662 Saverton West Dr
New London, MO 63459-3639
Mailing address
12662 Saverton West Dr
New London, MO 63459-3639
Phone (573) 248-7176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 499046001 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001004275 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1033168141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12662 SAVERTON WEST DR",
"city": "NEW LONDON",
"state": "MO",
"postal_code": "634593639",
"telephone_number": "573-248-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12662 SAVERTON WEST DR",
"city": "NEW LONDON",
"state": "MO",
"postal_code": "634593639",
"telephone_number": "573-248-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KIM",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2001004275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "499046001",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in New London, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.