Kimberly Chimuka, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80035 Issued in TX

Practice address

2105 Abelia LN
Leander, TX 78641-9054

Phone

(737) 270-5370

NPI assigned

Nov 16, 2017

Last updated

Jan 11, 2023By the provider in NPPES

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Redefine LLCGroup PAC ID 4284071879, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Redefine LLC

  • Marriage & Family Therapist
  • Keller, TX
  • NPI 1134773997
  Medicare reassignment Care Compare group NPD
• Kimberly Fernandes LLC

  • Professional Counselor
  • Loveland, CO
  • NPI 1710429121
  NPD (past)

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1700390457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 ABELIA LN",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786419054",
            "telephone_number": "737-270-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 ABELIA LN",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786419054",
            "telephone_number": "737-270-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "383 W 37th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382232",
            "country_code": "US",
            "telephone_number": "720-534-6408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1770 25th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344948",
            "country_code": "US",
            "telephone_number": "720-534-6408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 E 4th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805375653",
            "country_code": "US",
            "telephone_number": "970-673-7372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIMUKA",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710429121",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700390457",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "address_1": "2105 Abelia Ln",
            "city": "Leander",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786419054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sairah Chaudhry, OD
• Desi Chavez
• Cherishing Moments Home Health LLC
• Catherine Nicole Chiasson, PT, DPT
• Subha Chikkala, M.D.
• Chiropractic Massage & Spinal Health , PLLC
• Tara Elizabeth Chodorowski, M.A., CCC-SLP
• Choosing Empowerment, LLC
• Cornelius Joshua Chopin Jr.
• Aliisha Kathleen Choucair, DMD

• Professional Counselor in Leander, TX
• Providers in Leander, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.