Individual provider Active NPI

Kimberly C Overvold, LCSW, LAC

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1912659467
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCSW-LIC-57275 Issued in MT
Practice address
2101 Broadwater Ave Ste 105
Billings, MT 59102-4711
Phone
(406) 855-3501
Fax
(406) 794-0491
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-ACLC-LIC-48621 MT
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X BBH-SWLC-LIC-43985 MT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-57275 MT
Mental Health Counselor 101YM0800X BBH-LCSW-LIC-57275 MT Primary

Addresses

Primary practice location

2101 Broadwater Ave Ste 105
Billings, MT 59102-4711

Mailing address

PO Box 20882
Billings, MT 59104-0882
Phone (406) 855-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20230810004279 MT Practitioner - Clinical Social Worker 0345600409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2101 Broadwater Ave
Suite 105
Billings, MT 59102-4711
Phone (406) 855-3501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-ACLC-LIC-48621MTMDAddiction (Substance Use Disorder) Counselor
BBH-LCSW-LIC-57275MTMDClinical Social Worker
BBH-SWLC-LIC-43985MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling, PLLC Clinical PastSince Nov 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1912659467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20882",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591040882",
            "telephone_number": "406-855-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BROADWATER AVE STE 105",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024711",
            "telephone_number": "406-855-3501",
            "fax_number": "406-794-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERVOLD",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-48621",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-43985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-57275",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCSW-LIC-57275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.