Individual provider Active NPI

Kim A Kaper, LPC

  • Professional Counselor
  • Gillette, WY
National Provider Identifier
1609218445
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1750 Issued in WY
Practice address
623 N Commercial Dr
Gillette, WY 82716-2555
Phone
(307) 363-5930
Fax
(888) 720-0569
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 LPC-1750 WY Primary

Addresses

Primary practice location

623 N Commercial Dr
Gillette, WY 82716-2555

Mailing address

623 N Commercial Dr
Gillette, WY 82716-2555
Phone (307) 363-5930

Other names 1

  • Mrs. Kim Boardman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20240908000006 WY Practitioner - Mental Health Counselor 1951841774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Solutions LLCGroup PAC ID 6709200207, 4 clinicians

Practice addresses (Care Compare)

400 S Miller Ave
Gillette, WY 82716-3936
Phone (307) 363-5930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-1750WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Solutions, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

400 S Miller Ave
Gillette, WY 82716
Phone (307) 363-5930

623 N Commercial Dr
Gillette, WY 82716
Phone (307) 363-5930

219 W Main St
Newcastle, WY 82701
Phone (307) 363-5930

1124 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3715

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1609218445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N COMMERCIAL DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162555",
            "telephone_number": "307-363-5930",
            "fax_number": "888-720-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N COMMERCIAL DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162555",
            "telephone_number": "307-363-5930",
            "fax_number": "888-720-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPER",
        "first_name": "KIM",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "BOARDMAN",
            "prefix": "MRS.",
            "credential": "PPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.