Kimberly C Scales, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65248 Issued in TX

Practice address

6320 Brentwood Stair Rd
Fort Worth, TX 76112-3136

Phone

(817) 548-9990

Fax

(817) 446-9770

NPI assigned

Sep 26, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Center for Therapeutic Change, LTD.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ft. Worth, TX
  • NPI 1891084315
  NPD (past)
• Center for Theraputic Change

  • Community/Behavioral Health Agency
  • Arlington, TX
  • NPI 1386145548
  NPD (past)

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1063848786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 BRENTWOOD STAIR RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123136",
            "telephone_number": "817-548-9990",
            "fax_number": "817-446-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 BRENTWOOD STAIR RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123136",
            "telephone_number": "817-548-9990",
            "fax_number": "817-446-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9710",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Saxena, PHARMD PHD
• Asfia A Sayeed, MD
• Carina Sayles
• Scaan Neuro LLC
• Tamekia Denise Scaggs, WHNP-BC
• Jon Hunter Scarborough, MD
• Samuel Reed Scarborough
• Katherine Schaars, AUD
• James Schacherl, RCIS
• Maxlyn Schaefer

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.