Individual provider Active NPI

Kimberly Marie Sweesy, LPC

  • Professional Counselor
  • Imperial, MO
National Provider Identifier
1750639720
Registry record updated Aug 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2011020014 Issued in MO
Practice address
6106 Kensington CT
Imperial, MO 63052-2392
Phone
(314) 602-9207
NPI assigned
Aug 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2011020014 MO Primary

Addresses

Primary practice location

6106 Kensington CT
Imperial, MO 63052-2392

Mailing address

2833 Pomme Meadows Dr
Arnold, MO 63010-2800
Phone (314) 913-5186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2011020014MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Counseling Agency LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1750639720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 POMME MEADOWS DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102800",
            "telephone_number": "314-913-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 KENSINGTON CT",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630522392",
            "telephone_number": "314-602-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEESY",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-26",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011020014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.