Active NPI
Kimberly Dawn Ream, M.ED, LPC, LMFT
- Professional Counselor
- Sedalia, MO
National Provider Identifier
1629305396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009026111
- Practice address
- 121 E Broadway Blvd
Sedalia, MO 65301-5800 - Phone
- (660) 221-7432
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009026111 | MO | MD | Professional Counselor |
| 2012006797 | MO | MD | Marriage & Family Therapist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2009026111 | MO | Primary |
| Marriage & Family Therapist | 106H00000X | 2012006797 | MO |
Addresses
NPPES NPI RegistryPrimary practice location
121 E Broadway Blvd
Sedalia, MO 65301-5800
Mailing address
1321 S Arlington Ave
Sedalia, MO 65301-6447
Phone (660) 221-7432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2012.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1629305396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 S ARLINGTON AVE",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653016447",
"telephone_number": "660-221-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E BROADWAY BLVD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653015800",
"telephone_number": "660-221-7432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAM",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"credential": "M.ED, LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009026111",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "2012006797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.