Individual provider Active NPI

Kimberly Dawn Bates, M.A., LPC

  • Professional Counselor
  • Buckeye, AZ
National Provider Identifier
1699117564
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18330 Issued in AZ
Practice address
20926 W Almeria Rd
Buckeye, AZ 85396-2048
Phone
(623) 252-0898
NPI assigned
Jul 22, 2013
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 18330 AZ Primary

Addresses

Primary practice location

20926 W Almeria Rd
Buckeye, AZ 85396-2048

Mailing address

20926 W Almeria Rd
Buckeye, AZ 85396-2048
Phone (405) 655-3986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240410002200 AZ Practitioner - Mental Health Counselor 5991143802 Practice locations: Buckeye, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
18330AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Professional Counseling LLC PastSince Feb 4, 2013 Accepting new patients
Pathways Treatment Services Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1699117564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20926 W ALMERIA RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962048",
            "telephone_number": "405-655-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20926 W ALMERIA RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962048",
            "telephone_number": "623-252-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "18330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.