Kimbra Marie PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KIMBRA MARIE PLLC

Practice address

728 S Main St Ste 202
Kalispell, MT 59901-5342

Phone

(406) 356-6496

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Kimbra Buerschaper, LCSWNPI 1851054209

Title

Owner/Psychotherapist

Phone

(406) 356-6496

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimbra Marie Buerschaper, LCSW

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1851054209
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1386396703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10793",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599043793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S MAIN ST STE 202",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015342",
            "telephone_number": "406-356-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBRA MARIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "BUERSCHAPER",
        "authorized_official_first_name": "KIMBRA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "406-356-6496",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "728 S Main St Ste 202",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599015342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Scott Kenyon
• Elizabeth Moriah Kessler, LCSW
• Kiddsteeth PLLC
• Julie Kiewatt, MA
• Vicki Lynn Kimball
• Elizabeth Louise King, NP
• Katie D King, PA-C
• Maura A King, PA-C
• Patrick James King
• Benjamin W Kingan, DPT, CSCS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.