Individual provider Active NPI

Kim Clover, EDD

  • Professional Counselor
  • Bartlett, TN
National Provider Identifier
1811191950
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
472 Issued in TN
Practice address
6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Phone
(901) 387-0026
Fax
(901) 552-4737
NPI assigned
Jun 13, 2007
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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 472 TN Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895

Mailing address

6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Phone (901) 387-0026

Other identifiers 1

IdentifierTypeStateIssuer
103856OtherTNVALUE OPTIONS TRICARE

Other names 1

  • Kimberly Clover James Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 26, 2026 through May 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
472TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Counseling Services Inc Professional Current Accepting new patients

Locations

6551 Stage Oaks Dr
Ste 4
Bartlett, TN 38134
Phone (901) 387-0026

8000 Centerview Pkwy
Ste 511
Cordova, TN 38018
Phone (813) 768-3512

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1811191950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 STAGE OAKS DR STE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343895",
            "telephone_number": "901-387-0026",
            "fax_number": "901-552-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 STAGE OAKS DR STE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343895",
            "telephone_number": "901-387-0026",
            "fax_number": "901-552-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOVER",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "472",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS TRICARE",
            "identifier": "103856",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JAMES",
            "middle_name": "CLOVER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.