Kimberly Nell Averett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112284 Issued in TX

Practice address

899 Hanalei Cir
Diamondhead, MS 39525

Phone

(504) 439-4011

NPI assigned

Jul 13, 2021

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Health Virtual CareGroup PAC ID 5991176356, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texas Health Virtual Care

  dba Texas Health Care at Home

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1942951199
  Medicare reassignment Care Compare group NPD
• Texas Health Virtual Care

  dba Texas Health Behavioral Health Video Visits

  • Psychiatry Physician
  • Mansfield, TX
  • NPI 1003507542
  NPD

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1063084713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 HANALEI CIRCLE",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "39525",
            "telephone_number": "504-439-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 HANALEI CIR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "39525",
            "telephone_number": "504-439-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERETT",
        "first_name": "KIMBERLY",
        "middle_name": "NELL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "C8898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "112284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aloha Primary Care
• Altair Incorporated
• Always Family Home Health, LLC
• Carol Anderson
• Christopher Byron Arcement, NURSE PRACTITIONER(N
• Amy Catherine Love Baggett, PHARMD
• Sarah E Barowka, M.D.
• Maria Casillas Barrett
• Bio-Medical Applications of Mississippi, Inc. (Fresenius Medical Care - SMKC - Diamondhead)
• Nicholas William Bondio, DO

• Clinical Social Worker in Diamondhead, MS
• Providers in Diamondhead, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.