Individual provider Active NPI

Ngwe Kien Kimbeng Belinda

  • Clinical Social Worker
  • Josephine, TX
National Provider Identifier
1750083523
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67261 Issued in TX
Practice address
705 Cultivator CT
Josephine, TX 75189-5481
Phone
(734) 883-6685
NPI assigned
Mar 17, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 67261 TX Primary

Addresses

Primary practice location

705 Cultivator CT
Josephine, TX 75189-5481

Mailing address

705 Cultivator CT
Josephine, TX 75189-5481
Phone (734) 883-6685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230705002120 TX Practitioner - Clinical Social Worker 6406215714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCNT IncGroup PAC ID 3173809621, 16 clinicians

Practice addresses (Care Compare)

720 E Park Blvd
204 Counseling Center of North Texas
Plano, TX 75074-8802
Phone (469) 342-3468

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince Jan 25, 2024 Accepting new patients
CCNT Inc. Clinical CurrentSince Mar 30, 2023 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

720 E Park Blvd
Ste 204
Plano, TX 75074
Phone (469) 342-3468

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

303 S Highway 78
Ste 100
Wylie, TX 75098
Phone (469) 342-3468

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1750083523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CULTIVATOR CT",
            "city": "JOSEPHINE",
            "state": "TX",
            "postal_code": "751895481",
            "telephone_number": "734-883-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CULTIVATOR CT",
            "city": "JOSEPHINE",
            "state": "TX",
            "postal_code": "751895481",
            "telephone_number": "734-883-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBENG BELINDA",
        "first_name": "NGWE KIEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Josephine, TX

Sources for this page

Verify at the official NPI Registry.