Kimberly Ann Anderson, LPC
Individual provider Active NPI Professional Counselor · Aspermont, TX
NPI 1295317899 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1295317899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 64909 (TX)
- Practice address
- 821 N Broadway St
Aspermont, TX 79502-2029 - Phone
- (325) 242-1652
- NPI assigned
- Apr 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64909 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64909 | TX | Yes |
Addresses
Primary practice location
821 N Broadway St
Aspermont, TX 79502-2029
Mailing address
1208 E 18TH St
Colorado City, TX 79512-3461
Phone (325) 242-1652
Other providers in Aspermont, TX
- Aspermont Independent School District
- Aspermont Pharmacy, Inc.
- Aspermont Small Business Development Center, Inc.
- Belinda Hecht, Inc
- Cheyenna Cooper
All providers in Aspermont, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.