Individual provider Active NPI

Kimberly Ann Read, LPC

  • Professional Counselor
  • Battle Creek, MI
National Provider Identifier
1932403268
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
640101195 Issued in MI
Practice address
4625 Beckley Road
Suite 300
Battle Creek, MI 49015
Phone
(269) 979-8119
NPI assigned
Dec 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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 6401011995 MI
Professional Counselor 101YP2500X 640101195 MI Primary

Addresses

Primary practice location

4625 Beckley Road
Suite 300
Battle Creek, MI 49015

Mailing address

4625 Beckley Road
Suite 300
Battle Creek, MI 49015
Phone (269) 979-8119

Other names 1

  • Kimberly Ann Clifford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240103000554 MI Practitioner - Mental Health Counselor 4981971587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
640101195MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Center of Battle Creek Inc CurrentSince Feb 13, 2014 Accepting new patients

Locations

4625 Beckley Rd
Ste 300
Battle Creek, MI 49015
Phone (269) 223-7642

601 S Shore Dr
Unit 224
Battle Creek, MI 49014
Phone (269) 969-6115

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": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1932403268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 BECKLEY ROAD",
            "address_2": "SUITE 300",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-979-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BECKLEY ROAD",
            "address_2": "SUITE 300",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-979-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READ",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011995",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "640101195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CLIFFORD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.