Active NPI
Kimberly Ann Loomis, M.A., LMHP
- Mental Health Counselor
- Scottsbluff, NE
National Provider Identifier
1326122664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2328
- Practice address
- 4215 Avenue I
Scottsbluff, NE 69361-4902 - Phone
- (308) 635-3696
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2328 | NE | Primary |
| Counselor | 101Y00000X | 1296 | NE |
Addresses
Primary practice location
4215 Avenue I
Scottsbluff, NE 69361-4902
Mailing address
4215 Avenue I
Scottsbluff, NE 69361-4902
Phone (308) 635-3696
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348830000 | Other | NE | MAGELLAN MIS # |
| 10025154700 | Medicaid | NE | |
| 85246 | Other | NE | BCBS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2328 | NE | MD | Mental Health Counselor |
| 1296 | NE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Educational Service Unit 13 | Past | Accepting new patients |
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.
-
- Psychologist
- Scottsbluff, NE
- NPI 1104393545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1326122664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 AVENUE I",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614902",
"telephone_number": "308-635-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 AVENUE I",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614902",
"telephone_number": "308-635-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "M.A., LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2328",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1296",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS #",
"identifier": "348830000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025154700",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "85246",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.