Kim Shirk, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2001021092 Issued in MO

Practice address

410B SE 3Rd St Ste 101
Lees Summit, MO 64063-2842

Phone

(816) 525-5333

Fax

(816) 525-5334

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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, 2000

Medicare assignment

May accept Medicare assignment

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1114093176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410B SE 3RD ST STE 101",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632842",
            "telephone_number": "816-525-5333",
            "fax_number": "816-525-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410B SE 3RD ST STE 101",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632842",
            "telephone_number": "816-525-5333",
            "fax_number": "816-525-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001021092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497517904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheridan S. H .Stevens M.D., Facs, PC
• Rich Lyn Sherman, PH.D., LPC
• Syrece Kamille Sherman, DC
• Marie Christine Shilbaya, OTR/L
• Morgan G Shippy, RN, IBCLC
• Jami D Shockey, CRNA
• John E Shockley, D.O.
• Julie Shoemake, CCC-SLP
• Hannah K Sholar, MA, PLPC, NCC
• Brianna Shuler

• Professional Counselor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.