Kimberly Sue Powell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5603 Issued in LA

Practice address

2000 Fairfield Ave
Shreveport, LA 71104-2002

Phone

(318) 222-8511

NPI assigned

Oct 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Mental Health Counselor

Education

Louisiana State University School of Medicine in Shreveport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applegate Health Services IncGroup PAC ID 1254751472, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
  • NPI 1346775210
  Medicare reassignment Care Compare group NPD (past)
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oakdale, LA
  • NPI 1548893563
  NPD
• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jasper, AL
  • NPI 1891494415
  NPD
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Slidell, LA
  • NPI 1699396085
  NPD (past)
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
  • NPI 1801326723
  NPD (past)
• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bossier City, LA
  • NPI 1710412960
  NPD (past)
• Council on Alcoholism and Drug Abuse of Northwest Louisiana

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
  • NPI 1699955815
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1306356803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042002",
            "telephone_number": "318-222-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042002",
            "telephone_number": "318-222-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Jo Powell, NP
• Celeste Powell
• Deanna Lynn Powell, M.D.
• Kashanti Powell
• Kenneth Patrick Powell, MD
• Lamonica Powell
• Moranda Mone'T Powell, RN
• Rhonda Varnell Powell, CRNA
• Samantha Anne Powell, MA, PLPC
• Stanley E Powell, PT

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.

Verify at the official NPI Registry.