Kimberly McKenzie, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66864 Issued in TX

Practice address

2350 SW Green Oaks Blvd
Arlington, TX 76017-3708

Phone

(817) 704-6991

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kym McKenzie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rush Creek Counseling Center

  • Community/Behavioral Health Agency
  • Arlington, TX
  • NPI 1932346723
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1679980361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SW GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760173708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SW GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760173708",
            "telephone_number": "817-704-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYM",
            "last_name": "MCKENZIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Ann McIntyre, RN
• Calvin Newton McKaig, M.D.
• Martin Dean McKee, D.O.
• Garland Dudley McKelvain, D.D.S.,MSD,INC.
• Tanya Nicole McKenley-Dennis
• Rhonda A McKinney, CERT.NUTRITIONIST,CN
• Alandiaz D'Angelo McKinnie, LPC
• Cristin McLaughlin, LCSW
• Jane McLaughlin, PHD, LPC-S
• Brandy McLemore, COTA

• Professional Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.