Individual provider Active NPI

Kimberly Linne Boyd, LPC

  • Professional Counselor
  • Kingwood, TX
National Provider Identifier
1255534319
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18260 Issued in TX
Practice address
2323 Timber Shadows Dr Ste B
Kingwood, TX 77339-2028
Phone
(832) 233-3086
Fax
(832) 233-8229
NPI assigned
Jun 7, 2007
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18260 TX Primary

Addresses

Primary practice location

2323 Timber Shadows Dr Ste B
Kingwood, TX 77339-2028

Mailing address

PO Box 5857
Kingwood, TX 77325-5857
Phone (832) 233-3086

Other practice location 1

20031 W Lake Houston Pkwy Ste 400
Humble, TX 77346-3462
Phone (832) 233-3086

Other practice location 2

2323 Timber Shadows Dr
Kingwood, TX 77339-2028
Phone (832) 233-3086

Other identifiers 1

IdentifierTypeStateIssuer
302938101MedicaidTX

Other names 1

  • Kimberly Linne Boyd Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018000148 TX Practitioner - Mental Health Counselor 0042647620

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 5857
Kingwood, TX 77325-5857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kbccms, LLC Professional PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1255534319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5857",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255857",
            "telephone_number": "832-233-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 TIMBER SHADOWS DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392028",
            "telephone_number": "832-233-3086",
            "fax_number": "832-233-8229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20031 W Lake Houston Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773463462",
            "country_code": "US",
            "telephone_number": "832-233-3086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 Timber Shadows Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392028",
            "country_code": "US",
            "telephone_number": "832-233-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KIMBERLY",
        "middle_name": "LINNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302938101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOYD",
            "middle_name": "LINNE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.