Kimberly Dawn Presley, LPC LICENSE PROFESSI

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3364 Issued in KS

Practice address

2517 E Casey Dr
Goddard, KS 67052

Phone

(316) 641-3866

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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 KS

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axiom Counseling and Therapy ServicesGroup PAC ID 7618408816, 6 clinicians

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 and National Provider Directory roles.

• Axiom Counseling & Therapy Services

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1639526536

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1699232009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 E CASEY DR",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "67052",
            "telephone_number": "316-641-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 E CASEY DR",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "67052",
            "telephone_number": "316-641-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "LPC LICENSE PROFESSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkinsons Connect
• Jessica Ann Pauly, PT, DPT
• Christopher Peters, DPT
• Lydia Samantha Pirilli, SLP
• Preferred Medical Associates
• Samantha Jo Rasmussen
• Ken Roberts, PHARMD
• Thomas L Rochat, PH.D
• Jana L Rombeck, MOT, OTR/L
• Kimberley E Rowan, LMSW

• Professional Counselor in Goddard, KS
• Providers in Goddard, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.