Active NPI
Kimberly A McCain, LMHC
- Counselor
- Oskaloosa, IA
National Provider Identifier
1700915733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00999
- Practice address
- 1229 C Ave E
Ste 300
Oskaloosa, IA 52577-4246 - Phone
- (641) 672-3159
- Fax
- (641) 672-3259
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00999 | IA | Primary |
Addresses
Primary practice location
1229 C Ave E
Ste 300
Oskaloosa, IA 52577-4246
Mailing address
1229 C Ave E
Ste 300
Oskaloosa, IA 52577-4246
Phone (641) 672-3159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00999 | Other | IA | LICENSED MENTAL HEALTH CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2611 Washington St
Pella, IA 50219-7924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00999 | IA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meraki Mental Health, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Pella, IA
- NPI 1679461347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700915733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"address_2": "STE 300",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774246",
"telephone_number": "641-672-3159",
"fax_number": "641-672-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"address_2": "STE 300",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774246",
"telephone_number": "641-672-3159",
"fax_number": "641-672-3259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAIN",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "00999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MENTAL HEALTH CO",
"identifier": "00999",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.