Individual provider Active NPI

Kimberly Ann Rees, LMHC

  • Mental Health Counselor
  • Coralville, IA
National Provider Identifier
1487914859
Registry record updated May 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001481 Issued in IA
Practice address
1246 12TH Ave
Coralville, IA 52241-1034
Phone
(319) 512-9951
NPI assigned
May 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001481 IA Primary

Addresses

Primary practice location

1246 12TH Ave
Coralville, IA 52241-1034

Mailing address

1290 W Forevergreen Rd
North Liberty, IA 52317-8519
Phone (319) 512-9951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240809001981 IA Practitioner - Mental Health Counselor 4385182286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

555 W Cherry St
3 Journey Counseling Services
North Liberty, IA 52317-9800
Phone 31954172530980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001481IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Counseling Services LLC CurrentSince Aug 2, 2024 Accepting new patients

Locations

1290 W Forevergreen Rd
North Liberty, IA 52317

555 W Cherry St
Ste 3
North Liberty, IA 52317
Phone (319) 541-7253

Organizations & group practices 1

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": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337472000000",
    "number": "1487914859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 W FOREVERGREEN RD",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178519",
            "telephone_number": "319-512-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 12TH AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411034",
            "telephone_number": "319-512-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-20",
        "last_updated": "2012-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.