Active NPI
Kimberly Anne Caolo, LPC, ATR
- Professional Counselor
- Plano, TX
National Provider Identifier
1215245378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65531
- Practice address
- 7601 Preston Rd
Plano, TX 75024-3214 - Phone
- (214) 755-3860
- Fax
- (214) 755-3860
- NPI assigned
- Sep 22, 2010
- Last updated
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65531 | TX | Primary |
Addresses
Primary practice location
7601 Preston Rd
Plano, TX 75024-3214
Mailing address
7601 Preston Rd
Psychiatry
Plano, TX 75024-3214
Phone (214) 755-3860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1935 Medical District Dr
Dallas, TX 75235-7794
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65531 | TX | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Children's Medical Center of Dallas
- Children's Hospital
- Dallas, TX
- NPI 1194743013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1215245378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 PRESTON RD",
"address_2": "PSYCHIATRY",
"city": "PLANO",
"state": "TX",
"postal_code": "750243214",
"telephone_number": "214-755-3860",
"fax_number": "469-303-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750243214",
"telephone_number": "214-755-3860",
"fax_number": "214-755-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAOLO",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "LPC, ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.