Active NPI
Jill M. Kimpson, LISW
- Mental Health Counselor
- Des Moines, IA
National Provider Identifier
1679501241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 06675
- Practice address
- 1301 Center St
Des Moines, IA 50309-1004 - Phone
- (515) 243-5181
- Fax
- (515) 243-2760
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 06675 | IA | Primary |
Addresses
Primary practice location
1301 Center St
Des Moines, IA 50309-1004
Mailing address
1301 Center St
Des Moines, IA 50309-1004
Phone (515) 243-5181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074583 | Medicaid | IA | |
| 07458 | Other | IA | WELLMARK/BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06675 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679501241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CENTER ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091004",
"telephone_number": "515-243-5181",
"fax_number": "515-243-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 CENTER ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091004",
"telephone_number": "515-243-5181",
"fax_number": "515-243-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMPSON",
"first_name": "JILL",
"middle_name": "M.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "06675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074583",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK/BLUE CROSS",
"identifier": "07458",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.