Individual provider Active NPI

Kimberly G. McElroy, LPCC

  • Professional Counselor
  • Murrieta, CA
National Provider Identifier
1295905875
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC1101 Issued in CA
Practice address
41870 Kalmia St
Suite 155
Murrieta, CA 92562-8839
Phone
(949) 282-8193
Fax
(951) 678-9765
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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 LPCC1101 CA Primary

Addresses

Primary practice location

41870 Kalmia St
Suite 155
Murrieta, CA 92562-8839

Mailing address

41870 Kalmia St
Suite 155
Murrieta, CA 92562-8839
Phone (949) 282-8193

Other identifiers 1

IdentifierTypeStateIssuer
11817644OtherCAQH

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

State licenses

LicenseStateTypeSpecialty
LPCC1101CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1295905875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41870 KALMIA ST",
            "address_2": "SUITE 155",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628839",
            "telephone_number": "949-282-8193",
            "fax_number": "951-678-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41870 KALMIA ST",
            "address_2": "SUITE 155",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628839",
            "telephone_number": "949-282-8193",
            "fax_number": "951-678-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "KIMBERLY",
        "middle_name": "G.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC1101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11817644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.