Individual provider Active NPI

Kimberly Kay Cummings, LCPC

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1982107181
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
29954 Issued in MT
Practice address
600 Central Ave Ste 208
Great Falls, MT 59401-3141
Phone
(406) 315-1164
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 29954 MT
Professional Counselor 101YP2500X 29954 MT Primary

Addresses

Primary practice location

600 Central Ave Ste 208
Great Falls, MT 59401-3141

Mailing address

600 Central Ave Ste 208
Great Falls, MT 59401-3141
Phone (406) 315-1164

Other names 1

  • Kimberly Kay Burton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29954MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Springs Counseling, LLC Professional CurrentSince Aug 13, 2023 Accepting new patients

Locations

3800 1st Ave S
Great Falls, MT 59405

600 Central Ave
Ste 301
Great Falls, MT 59401
Phone (406) 868-2868

600 Central Ave
Ste 208
Great Falls, MT 59401
Phone (406) 231-1775

600 Central Ave
Ste 322
Great Falls, MT 59401
Phone (406) 599-9053

724 Louisiana Ave
Libby, MT 59923
Phone (406) 293-8811

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1982107181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE 208",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-315-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE 208",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-315-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "29954",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "29954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BURTON",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.