Individual provider Active NPI

Kimberly A Walheim, LPC

  • Professional Counselor
  • Elizabethtown, PA
National Provider Identifier
1669811709
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006979 Issued in PA
Practice address
222 S Market St
Suite 104
Elizabethtown, PA 17022-2439
Phone
(717) 779-6639
Fax
(717) 361-9100
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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 PC006979 PA Primary

Addresses

Primary practice location

222 S Market St
Suite 104
Elizabethtown, PA 17022-2439

Mailing address

1025 S Cocalico Rd
Denver, PA 17517-9545
Phone (717) 606-7652

Other names 1

  • Kimberly A. Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240126000092 PA Practitioner - Mental Health Counselor 5698128726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformative Pathways LLCGroup PAC ID 9234582362, 2 clinicians

Practice addresses (Care Compare)

222 S Market St
Suite 104
Elizabethtown, PA 17022-2439
Phone (717) 635-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC006979PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Pathways LLC CurrentSince Sep 23, 2022 Accepting new patients
New Life Psychological Services LLC Past Accepting new patients

Locations

29 S Market St
Ste 201
Elizabethtown, PA 17022

222 S Market St
Ste 104
Elizabethtown, PA 17022
Phone (717) 635-5304

Organizations & group practices 2

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1669811709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S COCALICO RD",
            "city": "DENVER",
            "state": "PA",
            "postal_code": "175179545",
            "telephone_number": "717-606-7652",
            "fax_number": "717-336-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MARKET ST",
            "address_2": "SUITE 104",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222439",
            "telephone_number": "717-779-6639",
            "fax_number": "717-361-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALHEIM",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ROBINSON",
            "middle_name": "A.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.