Individual provider Active NPI

Kimberly Dee Buesing, LPC

  • Professional Counselor
  • Vernon, TX
National Provider Identifier
1467866657
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69942 Issued in TX
Practice address
1900 Pease St Ste 308
Vernon, TX 76384-4625
Phone
(940) 357-1156
Fax
(940) 553-7054
NPI assigned
Jun 16, 2014
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69942 TX Primary

Addresses

Primary practice location

1900 Pease St Ste 308
Vernon, TX 76384-4625

Mailing address

1900 Pease St Ste 308
Vernon, TX 76384-4625
Phone (940) 357-1156

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
I20240418003620 TX Practitioner - Mental Health Counselor 7012356371 Practice locations: Vernon, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Pease St
Suite 318
Vernon, TX 76384-4625
Phone (940) 357-1156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1467866657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PEASE ST STE 308",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844625",
            "telephone_number": "940-357-1156",
            "fax_number": "940-553-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PEASE ST STE 308",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844625",
            "telephone_number": "940-357-1156",
            "fax_number": "940-553-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUESING",
        "first_name": "KIMBERLY",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

Verify at the official NPI Registry.