Active NPI
Kimberly Doris Compton, MA, LPC, NCC, MAC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1386020071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015026842
- Practice address
- 10225 Trio LN
Saint Louis, MO 63137 - Phone
- (314) 322-7749
- Fax
- (314) 371-6500
- NPI assigned
- Aug 4, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2015026842 | MO | |
| Professional Counselor | 101YP2500X | 2015026842 | MO | Primary |
Addresses
Primary practice location
10225 Trio LN
Saint Louis, MO 63137
Mailing address
10225 Trio LN
Saint Louis, MO 63137-3450
Phone (314) 322-7749
Other practice location 1
2650 Olive St
Saint Louis, MO 63103-1424
Phone (314) 371-6500
Other practice location 2
330 N Gore Ave
Saint Louis, MO 63119-1600
Phone (314) 301-4644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490036302 | Medicaid | MO |
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 |
|---|---|---|---|
| 2015026842 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1386020071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10225 TRIO LN",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631373450",
"telephone_number": "314-322-7749",
"fax_number": "314-371-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10225 TRIO LN",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63137",
"telephone_number": "314-322-7749",
"fax_number": "314-371-6500"
}
],
"practiceLocations": [
{
"address_1": "2650 Olive St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631031424",
"country_code": "US",
"telephone_number": "314-371-6500",
"fax_number": "314-371-6508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 N Gore Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631191600",
"country_code": "US",
"telephone_number": "314-301-4644",
"fax_number": "314-301-0044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMPTON",
"first_name": "KIMBERLY",
"middle_name": "DORIS",
"name_prefix": "Ms.",
"credential": "MA, LPC, NCC, MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "2015026842",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2015026842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490036302",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.