Individual provider Active NPI

Kimberly Katherine Clipper, LPCC

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1689156804
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2505521 Issued in OH
Practice address
26300 Cedar Rd Ste 1105
Beachwood, OH 44122-1190
Phone
(216) 200-5433
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2505521 OH Primary

Addresses

Primary practice location

26300 Cedar Rd Ste 1105
Beachwood, OH 44122-1190

Mailing address

16781 Chagrin Blvd Ste 436
Shaker Heights, OH 44120-3721
Phone (216) 200-5433

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.2505521OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Clipper Counseling and Therapy Services, LLC Mental Health Current Accepting new patients
Rebirth Counseling and Therapy Services LLC Mental Health Past Accepting new patients

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1689156804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16781 CHAGRIN BLVD STE 436",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203721",
            "telephone_number": "216-200-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 CEDAR RD STE 1105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221190",
            "telephone_number": "216-200-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIPPER",
        "first_name": "KIMBERLY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2505521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.