Kimberly Overlie, MSED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00533 Issued in MN

Practice address

332 W Superior St
Suite 300
Duluth, MN 55802-1808

Phone

(218) 722-4379

NPI assigned

Jan 18, 2008

Last updated

Jan 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MN

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

Clinical Psychologist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

HP Psychological Associates PCGroup PAC ID 1951658152, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HP Psychological Associates, PC

  • Community/Behavioral Health Agency
  • Duluth, MN
  • NPI 1780132696
  Medicare reassignment Care Compare group Authorized official
• Compassionate Quality Psychiatry PLLC

  • Community/Behavioral Health Agency
  • Cloquet, MN
  • NPI 1932852860
  NPD

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1730365826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W SUPERIOR ST",
            "address_2": "SUITE 300",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021808",
            "telephone_number": "218-722-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W SUPERIOR ST",
            "address_2": "SUITE 300",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021808",
            "telephone_number": "218-722-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLIE",
        "first_name": "KIMBERLY",
        "credential": "MSED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Louise Ouellette
• Gerald Thomas Ouellette
• Outlook Therapy LLC
• Stacy Overby, LADC
• Heather Marie Overland, APRN, CRNA
• Mary Ellen Owens, CNP
• Owl Moon Mental Health
• Oxygen, Respiratory & Medical Equip, Inc (Diabetic and Comfort Shoes)
• P J Noss Corporation
• P.L. Lukovsky Chiropractic Clinic P.a. (Lukovsky Chiropractic Clinic)

• Professional Counselor in Duluth, MN
• Providers in Duluth, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.