Individual provider Active NPI

Kimberly Loree Colbert

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1225755838
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
801 Barret Ave Ste 222
Louisville, KY 40204-1733
Phone
(502) 658-2536
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X KY Primary

Addresses

Primary practice location

801 Barret Ave Ste 222
Louisville, KY 40204-1733

Mailing address

5104 Green Cove Cir
Louisville, KY 40218-3845
Phone (502) 432-5557

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL KIMukeepitmoving@gmail.com Health Information Exchange (HIE)
Other URL KIMukeepitmoving@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Counseling Center Mental Health CurrentSince Apr 6, 2023 Accepting new patients

Locations

801 Barret Ave
Ste 222
Louisville, KY 40204
Phone (502) 510-6944

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1225755838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 GREEN COVE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183845",
            "telephone_number": "502-432-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE STE 222",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041733",
            "telephone_number": "502-658-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "KIMBERLY",
        "middle_name": "LOREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KIMukeepitmoving@gmail.com",
            "affiliation": "N",
            "endpointDescription": "KIMukeepitmoving@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Counseling Sessions",
            "address_1": "801 Barret Ave Ste 222",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402041733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KIMukeepitmoving@gmail.com",
            "affiliation": "N",
            "endpointDescription": "KIMukeepitmoving@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Counseling Sessions",
            "address_1": "801 Barret Ave Ste 222",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402041733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.