Kimberli Ann Krenik, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1277 SE Shelton St
Dallas, OR 97338-2537

Phone

(582) 333-1364

NPI assigned

May 17, 2007

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rogue Psych Consultants LLCGroup PAC ID 1850632415, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rogue Psych Consultants, LLC

  • Mental Health Counselor
  • Ashland, OR
  • NPI 1447727110
  Medicare reassignment Care Compare group NPD
• Quiet Waters Counseling LLC

  • Professional Counselor
  • Dallas, OR
  • NPI 1609626076
  Medicare reassignment NPD
• Rogue Psych Consultants

  • Psychologist
  • Ashland, OR
  • NPI 1164094124
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1649487927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 SE SHELTON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382537",
            "telephone_number": "582-333-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 SE SHELTON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382537",
            "telephone_number": "582-333-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENIK",
        "first_name": "KIMBERLI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Knowles, OD
• Geoffrey Wade Knowles, OD
• Anthony Koch, PMHNP
• Kathleen Koens
• Ami Korsunsky, M.A. COUNSELING
• Sloan Krueger
• Allison Lafountain, BA QMHA
• Matthew Bryant Lake, DMD
• Rebecka Langley
• Sue Larsen, MA, MFT

• Mental Health Counselor in Dallas, OR
• Providers in Dallas, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.