Kimberly Backfisch, LPC, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2019009248 Issued in MO

Practice address

19806 State Highway C
Advance, MO 63730-8352

Phone

(573) 321-8924

NPI assigned

Jul 9, 2020

Last updated

Dec 17, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inspiring Relationships Counseling

  • Professional Counselor
  • Advance, MO
  • NPI 1073395570
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1689292302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 BCR 725",
            "city": "ZALMA",
            "state": "MO",
            "postal_code": "637878769",
            "telephone_number": "573-275-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19806 STATE HIGHWAY C",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637308352",
            "telephone_number": "573-321-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKFISCH",
        "first_name": "KIMBERLY",
        "credential": "LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019009248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Medical Clinic
• Advance Missouri Health Care (Advance Assisted Living)
• Advance R-IV Public Schools
• Aspire Senior Living Advance, LLC (Aspire Senior Living Advance)
• John Backfisch, LPC
• Cindy Beussink, M.A.,CCC-SLP
• Bits of Heaven in Home Services, LLC
• Bsap LLC (Advance Pharmacy)
• Carol S. Coffee, RN
• Jodi Crader

• Professional Counselor in Advance, MO
• Providers in Advance, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.