Active NPI
Kimberly Ann Meeker, LMSW, TLMAC
- Mental Health Counselor
- Lawrence, KS
National Provider Identifier
1588298640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10687
- Practice address
- 3205 Clinton Parkway CT
Lawrence, KS 66047-2627 - Phone
- (785) 843-5483
- Fax
- (785) 841-5433
- NPI assigned
- Feb 27, 2020
- Last updated
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 754 | KS | |
| Mental Health Counselor | 101YM0800X | 10687 | KS | Primary |
| Social Worker | 104100000X | 10687 | KS |
Addresses
Primary practice location
3205 Clinton Parkway CT
Lawrence, KS 66047-2627
Mailing address
3205 Clinton Parkway CT
Lawrence, KS 66047-2627
Phone (785) 843-5433
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmeeker@mirrorinc.org | Direct | |
| Direct Messaging Address | kmeeker@mirrorinc.org | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 754 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 10687 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Treatment Services, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Professional Treatment Services | Past | Accepting new patients |
Locations
3205 Clinton Parkway Ct
Lawrence, KS 66047
Phone (785) 249-8477
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Lawrence, KS
- NPI 1710008461
-
- Community/Behavioral Health Agency
- Lawrence, KS
- NPI 1649716192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1588298640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 CLINTON PARKWAY CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472627",
"telephone_number": "785-843-5433",
"fax_number": "785-841-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 CLINTON PARKWAY CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472627",
"telephone_number": "785-843-5483",
"fax_number": "785-841-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKER",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LMSW, TLMAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "754",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "10687",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "10687",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmeeker@mirrorinc.org",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3205 Clinton Parkway Ct",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660472627",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmeeker@mirrorinc.org",
"affiliation": "N",
"endpointDescription": "Work Email secure",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3205 Clinton Parkway Ct",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660472627",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrence, KS
- Med-Trans Corporation
- Medexpress Urgent Care Kansas, P.a. (MedExpress Urgent Care - Lawrence, W 6th St)
- Medical Arts Pharmacy Inc (Sigler Medical Arts LTC)
- Medical Arts Pharmacy Inc (Sigler Medical Arts Pharmacy)
- Stephanie Meehan
- Melissa Ann Mehrwin, L.C.P.C.
- Noelle Renee Meier, DC
- Lindsey Meinhart
- Emily Alton Meiring
- Isabella Meisel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.