Kimberly Dawn Huckfeldt-Mundt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1587 Issued in WY

Practice address

2802 W C St
Torrington, WY 82240-1834

Phone

(307) 532-0134

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Kimberly Dawn Huckfeldt-Smith Former name

Medicare fee-for-service enrollment

Enrolled in WY

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

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Volunteers of America Northern RockiesGroup PAC ID 1355733015, 19 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 and National Provider Directory roles.

• Volunteers of America Northern Rockies

  • Substance Abuse Rehabilitation Facility
  • Sheridan, WY
  • NPI 1689249682

  WY

  Medicare reassignment Care Compare group NPD
• Volunteers of America Northern Rockies

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sheridan, WY
  • NPI 1013292473
  NPD
• Volunteers of America Northern Rockies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sundance, WY
  • NPI 1558415927
  NPD
• Number 34

  • Case Management Agency
  • Torrington, WY
  • NPI 1124473376
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1104182336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 W C ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401834",
            "telephone_number": "307-532-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 W C ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401834",
            "telephone_number": "307-532-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Albany Ave",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "WY",
            "postal_code": "822401503",
            "country_code": "US",
            "telephone_number": "307-532-4091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUCKFELDT-MUNDT",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60179545",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60164858",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136831100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HUCKFELDT-SMITH",
            "middle_name": "DAWN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Michael Hotz, LPC, LCAS
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• Benjamin Caleb Jackson, D.C

• All providers in Torrington, WY
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.