Individual provider Active NPI

Kimberly Dawn Ream, M.ED, LPC, LMFT

  • Professional Counselor
  • Sedalia, MO
National Provider Identifier
1629305396
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2009026111 Issued in MO
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

LicenseStateTypeSpecialty
2009026111MOMDProfessional Counselor
2012006797MOMDMarriage & Family Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2009026111 MO Primary
Marriage & Family Therapist 106H00000X 2012006797 MO

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.