Kimberly Ann Failes, MS LPC LAT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 732 Issued in WY

Practice address

378 Falls Ave
Twin Falls, ID 83301-3373

Phone

(208) 293-8062

Fax

(208) 293-8082

NPI assigned

Jan 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Other names 1

• Kimberly Ann Failes Professional name

Medicare fee-for-service enrollment

Enrolled in ID

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

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Turning Point Center for Change IncGroup PAC ID 0446781710, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Turning Point Center for Change Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Twin Falls, ID
  • NPI 1730504309

  ID

  Medicare reassignment Care Compare group NPD
• Ambitions of Idaho, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coeur D Alene, ID
  • NPI 1689133050
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1770720583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013373",
            "telephone_number": "208-293-8062",
            "fax_number": "208-293-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013373",
            "telephone_number": "208-293-8062",
            "fax_number": "208-293-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MS LPC LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "LAT 269",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC 732",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC 5870",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "LCPC 5870",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC 5870",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC 5870",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "LPC732",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LAT 269",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC 732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FAILES",
            "middle_name": "ANN",
            "credential": "MS LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eyemart Express LLC
• Christopher Adam Eyre, MD
• Joseph Ezer, M.D.
• James Edward Fabe, DDS
• Kathleen Fagerland, CNM
• Laura M Fall, MD
• Falls Avenue Immediate Care PA
• Falls Centre for Functional Medicine, PLLC.
• Falls Orthodontics PLLC
• Family and Adolescent Care of Twin Falls PA

• Professional Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.