Kimberly B Rasmussen, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-6437 Issued in ID

Legal business name

KIMBERLY B RASMUSSEN, PLLC

Practice address

850 E Center St Ste F
Pocatello, ID 83201-5737

Phone

(208) 243-9308

Fax

(208) 544-9574

NPI assigned

Jan 9, 2018

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Bernt, LCPCNPI 1740568658

Title

Owner

Phone

(208) 243-9308

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly B Bernt, LCPC

  • Professional Counselor
  • Pocatello, ID
  • NPI 1740568658
  Authorized official Same address or phone

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1407363690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E CENTER ST STE F",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015737",
            "telephone_number": "208-243-9308",
            "fax_number": "208-544-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E CENTER ST STE F",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015737",
            "telephone_number": "208-243-9308",
            "fax_number": "208-544-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY B RASMUSSEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "BERNT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-243-9308",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-6437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1740568658",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.