Individual provider Active NPI

Kimberly B Bebeau, L.P.C.

  • Professional Counselor
  • Danville, VA
National Provider Identifier
1760477855
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003052 Issued in VA
Practice address
245 Hairston St
Danville, VA 24540-4137
Phone
(434) 799-0456
Fax
(434) 793-4201
NPI assigned
Sep 14, 2005
Last updated
Jun 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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 0701003052 VA Primary

Addresses

Primary practice location

245 Hairston St
Danville, VA 24540-4137

Mailing address

1045 Main Street, Suite 5
Counseling and Psychological Services, LLC
Danville, VA 24541-1800
Phone (434) 792-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260521004303 VA Practitioner - Mental Health Counselor 2163992918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Psychological Services,LLCGroup PAC ID 3870751126, 6 clinicians

Practice addresses (Care Compare)

1045 Main St
Suite 5
Danville, VA 24541-1800
Phone (434) 792-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701003052VAMDProfessional Counselor

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, 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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1760477855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 MAIN STREET, SUITE 5",
            "address_2": "COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411800",
            "telephone_number": "434-792-2277",
            "fax_number": "434-792-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 HAIRSTON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404137",
            "telephone_number": "434-799-0456",
            "fax_number": "434-793-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBEAU",
        "first_name": "KIMBERLY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.