Individual provider Active NPI

Kimberly S McCaskill, M.S.

  • Professional Counselor
  • Memphis, TN
National Provider Identifier
1770645327
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1773 Issued in TN
Practice address
5050 Poplar Ave, Ste. 1118
Memphis, TN 38157
Phone
(901) 683-5658
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 1773 TN Primary

Addresses

Primary practice location

5050 Poplar Ave, Ste. 1118
Memphis, TN 38157

Mailing address

5050 Poplar Ave, Ste. 1118
Memphis, TN 38157
Phone (901) 683-5658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250717003548 TN Practitioner - Mental Health Counselor 9638548860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

8295 Tournament Dr
Suite 201
Memphis, TN 38125-8913
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Mental Health CurrentSince Apr 12, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Apr 12, 2025 Accepting new patients
Methodist Le Bonheur Healthcare Eap Professional PastSince May 18, 2025 Accepting new patients
Mental Health Resources, PLLC PastSince Aug 1, 2018 Accepting new patients

Locations

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176

8295 Tournament Dr
Ste 201
Memphis, TN 38125
Phone (901) 560-9624

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1770645327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE, STE. 1118",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38157",
            "telephone_number": "901-683-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE, STE. 1118",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38157",
            "telephone_number": "901-683-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASKILL",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.