Kimberly Davis, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2023035096 Issued in MO

Practice address

1401 Muskopf PL
Dupo, IL 62239-1450

Phone

(504) 650-6299

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

Yes

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 LA

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

State licenses

Practice roles (2 of 3)

Locations

Networks

• LA PPO C-SNP

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.

• Always Hope LLC

  • Professional Counselor
  • Prairieville, LA
  • NPI 1437766573

  LA

  Medicare reassignment NPD
• Evolet Counseling and Wellness

  • Mental Health Counselor
  • New Orleans, LA
  • NPI 1023800547

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1083379648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MUSKOPF PL",
            "city": "DUPO",
            "state": "IL",
            "postal_code": "622391450",
            "telephone_number": "504-650-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MUSKOPF PL",
            "city": "DUPO",
            "state": "IL",
            "postal_code": "622391450",
            "telephone_number": "504-650-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7843",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2023035096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Benware
• Michael Z Bialas, D.C.
• Jenna Bivens
• Community Unit School District No 196
• Michael Robert Dambacher, PTA
• Nicholas Michael Dubina, DMD
• Dupo Fire Protection District
• Edp of Illinois P.C
• Hannah Frances Goodson, MS, CF-SLP
• Holon Inclusive Behavioral Health

• All providers in Dupo, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.