Kimberley Lynn Yore, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011301 Issued in MI

Practice address

4029 West Main St. (4029)
Kalamazoo, MI 49006-2763

Phone

(269) 290-4359

Fax

(269) 397-2287

NPI assigned

Sep 11, 2012

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

Other names 1

• Mrs. Kimberly Lynn Yorecutchin Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Maryland Medical College, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1184974867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 WEST MAIN ST. (4029)",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062763",
            "telephone_number": "269-290-4359",
            "fax_number": "269-397-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 WEST MAIN ST. (4029)",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062763",
            "telephone_number": "269-290-4359",
            "fax_number": "269-397-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORE",
        "first_name": "KIMBERLEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703102803",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "YORECUTCHIN",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "MS, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Thomas Yetman, MD
• Eric John Yoder, DO
• Kate Yoder
• Emily J Yonker, PA-C
• Semar Yono, MD
• Kalayakorn Yossomsaen
• You'Re Always at Home Afc LLC
• Markeita Youmans, RN
• Brooklyn Young
• Cavel Young

• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.