Kimberly R Duff, LPC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008763 Issued in GA

Practice address

109 Central Ave
Cartersville, GA 30120-3905

Phone

(404) 518-5705

Fax

(770) 334-3708

NPI assigned

Apr 5, 2016

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 GA

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Overcomers Counseling

  • Professional Counselor
  • Cartersville, GA
  • NPI 1235593286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1649633728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 KATHRYN GLEN DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012018",
            "telephone_number": "404-518-5705",
            "fax_number": "770-334-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CENTRAL AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203905",
            "telephone_number": "404-518-5705",
            "fax_number": "770-334-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "LPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Eleanor Dowell, LPC
• Downeast Smile Company
• Downeast Smile Company LLC
• Dr. Lance D. Barry P.C.
• Madelynn Rose Drajem
• Crystal Duke, COTA/L
• Barbara Terica Dunbar, DNP
• James Kevin Duncan, NP
• Olesea Duncan
• Allan B Dunlap, M.D.

• Professional Counselor in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.