Individual provider Active NPI

Kimberly Sidlinger, LMHC

  • Counselor
  • Clinton, IA
National Provider Identifier
1528429883
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
001424 Issued in IA
Practice address
132 6TH Ave S # 3
Clinton, IA 52732-4103
Phone
(563) 363-4502
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001424 IA
Counselor 101Y00000X 001424 IA Primary

Addresses

Primary practice location

132 6TH Ave S # 3
Clinton, IA 52732-4103

Mailing address

132 6TH Ave S # 3
Clinton, IA 52732-4103
Phone (563) 363-4502

Other practice location 1

1523 S Bluff Blvd
Clinton, IA 52732-6549
Phone (563) 243-6054

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

State licenses

LicenseStateTypeSpecialty
001424IAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Ranch PastSince May 25, 2025 Accepting new patients
Cornerstone Wellness Center LLC Mental Health PastSince Sep 28, 2006 Accepting new patients

Organizations & group practices 2

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1528429883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 6TH AVE S # 3",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324103",
            "telephone_number": "563-363-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 6TH AVE S # 3",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324103",
            "telephone_number": "563-363-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 S Bluff Blvd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527326549",
            "country_code": "US",
            "telephone_number": "563-243-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDLINGER",
        "first_name": "KIMBERLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001424",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "001424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.