Kimberly Kay Durbin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

086704 Issued in IA

Practice address

400 Sivers Rd
Glenwood, IA 51534-1548

Phone

(402) 676-2069

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Waubonsie Mental Health Center IncGroup PAC ID 1658262415, 6 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.

• Waubonsie Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Clarinda, IA
  • NPI 1376698837
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1104303759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 N 83RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SIVERS RD",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341548",
            "telephone_number": "402-676-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "086704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Mills
• Amanda Jean Dahl, MOT, OTR/L
• Department of Human Services Glenwood Resource Center
• Department of Human Services Glenwood Resource Center
• Department of Human Services Glenwood Resource Center
• Clinton Scott Eanes, NRP
• Elwood M Young OD PC
• Embrace Iowa Inc
• Embrace LLC
• Amy Renee Faust, L.M.H.C.

• Mental Health Counselor in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.