Active NPI
Kimberly Anne Taylor, LPC
- Professional Counselor
- Bastrop, TX
National Provider Identifier
1790425213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 92910
- Practice address
- 111 Magnum TRL
Bastrop, TX 78602-3994 - Phone
- (785) 550-7689
- NPI assigned
- Mar 31, 2022
- Last updated
- Oct 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 92910 | NU | Primary |
Addresses
Primary practice location
111 Magnum TRL
Bastrop, TX 78602-3994
Mailing address
111 Magnum TRL
Bastrop, TX 78602-3994
Phone (785) 550-7689
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1604 Industry Dr
Suite 108C
Bastrop, TX 78602-4603
Phone 73725157071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
dba Family Recovery Essentials
- Mental Health Counselor
- Bastrop, TX
- NPI 1992429740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1790425213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MAGNUM TRL",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023994",
"telephone_number": "785-550-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MAGNUM TRL",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023994",
"telephone_number": "785-550-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": "92910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
- Harry Stuart, PT
- James Woodfin Sullivan, DDS
- Sunshine Behavioral Health Group LLC (Willow Springs Recovery LLC)
- David Russell Tauch, O.D.
- Frederic Holland Taylor, D.C.
- Telehelp LLC
- Texan Eye, PA
- Texas Cardiac Arrhythmia PLLC
- Texas Cardiovascular Consultants, PA
- Texas Orthopedics, Sports & Rehabilitation Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.