Kimberly S Delgado, PSY.D.
Individual provider Active NPI Professional Counselor · Nevada, MO
NPI 1699756239 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1699756239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2002017416 (MO)
- Practice address
- 815 S Ash St
Nevada, MO 64772-3222 - Phone
- (417) 667-8352
- Fax
- (417) 667-9216
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002017416 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Independence in Home Care | Current | Accepting new patients | |
| Hope for Families | Current | Accepting new patients | |
| At Home Independence Quality Home Care,LLC | Current | Accepting new patients |
Locations
216 W Cherry St
Nevada, MO 64772
Phone (417) 448-8960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2002017416 | MO | Yes |
Addresses
Primary practice location
815 S Ash St
Nevada, MO 64772-3222
Mailing address
216 W Cherry St
Nevada, MO 64772-3362
Phone (417) 448-8960
Other practice location 1
216 W Cherry St
Nevada, MO 64772-3362
Phone (417) 448-8960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33118011 | Other | MO | BLUE CROSS BLUE SHIELD |
| 495908006 | Medicaid | MO |
Other providers in Nevada, MO
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- Dermatology and Surgery PC
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- Sarah Elaine Dodson
- Jennifer K Doyle
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All providers in Nevada, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.