Kimberli Pepelea, LCSW, LCAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006237 Issued in IN

Practice address

1537 S 7TH St
Terre Haute, IN 47802-1610

Phone

(812) 917-3186

Fax

(812) 917-4260

NPI assigned

Apr 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1689964041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021610",
            "telephone_number": "812-917-3186",
            "fax_number": "812-917-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021610",
            "telephone_number": "812-917-3186",
            "fax_number": "812-917-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPELEA",
        "first_name": "KIMBERLI",
        "credential": "LCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006237",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001381A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000770392",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Frances Pelland, PSY.D.
• Zachary Pemberton, RBT
• Jennifer J Pence, FNP
• Thomas Pendergast, M.D.
• Hannah Rae Penry
• Performance Physical Therapy
• Juanita Rochanda Perkins, PMHNP-BC
• Jaden Nicole Perry
• Megan Perry, RBT
• Abigail Peters

• Clinical Social Worker in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.