Active NPI
Kimberly Dunn
- Counselor
- Shenandoah, TX
National Provider Identifier
1356100754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 94046
- Practice address
- 128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018 - Phone
- (832) 346-8082
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 94046 | TX | Primary |
Addresses
Primary practice location
128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018
Mailing address
16511 Burnell Oaks LN
Houston, TX 77090-5240
Phone (225) 330-9638
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94046 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Mental Health PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
128 Vision Park Blvd
Ste 230
Shenandoah, TX 77384
Phone (832) 346-8082
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1356100754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16511 BURNELL OAKS LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770905240",
"telephone_number": "225-330-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 VISION PARK BLVD STE 230",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843018",
"telephone_number": "832-346-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": "94046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.