Kimberly Ann Herring, MA, LPA, LPC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1769 Issued in NC

Practice address

901 Arsenal Ave Ste 202E
Fayetteville, NC 28305-5398

Phone

(910) 323-3368

Fax

(910) 486-7000

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Kimberly Ann Rueda Former name

Medicare fee-for-service enrollment

Enrolled in NC

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Biblical Counseling ServicesGroup PAC ID 7315183407, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Biblical Counseling Services

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1629233887
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1811087919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 BRUSHY HILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283065662",
            "telephone_number": "910-426-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE STE 202E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055398",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4067 LPC",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "1769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107002",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUE CROSS BLUE SHIELD",
            "identifier": "13235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RUEDA",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MA, LPA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aleesha Herring, M.A. LCAS-A
• Baylee Herring
• Jenna Herring
• John Herring
• Katherine Herring, SOCIAL WORKER
• Lainey Elizabeth Herring, LCSW
• Stephen Mitchell Herring, MD DDS
• Jasmine Hertz
• Hailey Heshelman
• Jessica Hess, MSW, LCSWA

• Counseling Psychologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Counseling Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.