Individual provider Active NPI

Kimberley Evans Loken, LCSW

  • Clinical Social Worker
  • Tomball, TX
National Provider Identifier
1356471502
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37386 Issued in TX
Practice address
19906 Stone Lake Dr
Tomball, TX 77377-5653
Phone
(281) 380-3687
Fax
(281) 255-3063
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 37386 TX Primary

Addresses

Primary practice location

19906 Stone Lake Dr
Tomball, TX 77377-5653

Mailing address

19906 Stone Lake Dr
Tomball, TX 77377-5653
Phone (281) 380-3687

Other practice location 1

2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162
Phone (844) 824-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20071030000347 TX Practitioner - Clinical Social Worker 0648367284 Reassigns benefits to 2 organizations
Practice locations: Tomball, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

2103 Research Forest Dr
Suite 175
The Woodlands, TX 77380-4162
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37386TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Trails Community MHMR Center CurrentSince Oct 7, 2024 Accepting new patients
Restoration Psychological Services, PLLC CurrentSince Jan 1, 1990 Accepting new patients
Bluebonnet Trails Community MHMR Center Clinical CurrentSince Oct 7, 2024 Accepting new patients
Progressive Behavioral Health, PLLC Clinical CurrentSince Jan 31, 2025 Accepting new patients

Locations

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

2103 Research Forest Dr
Ste 175
The Woodlands, TX 77380

2103 Research Forest Dr
Bldg 1
The Woodlands, TX 77380
Phone (832) 895-0347

1002 Village Square Dr
Ste 2
Tomball, TX 77375
Phone (281) 516-1339

Organizations & group practices 4

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1356471502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19906 STONE LAKE DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775653",
            "telephone_number": "281-380-3687",
            "fax_number": "281-255-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19906 STONE LAKE DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775653",
            "telephone_number": "281-380-3687",
            "fax_number": "281-255-3063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Research Forest Dr Ste 175",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773804162",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOKEN",
        "first_name": "KIMBERLEY",
        "middle_name": "EVANS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.