Kimberly D. Fenison, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

04958 Issued in KS

Practice address

8407 W 90TH Ter
Overland Park, KS 66212-3051

Phone

(816) 214-3723

NPI assigned

Feb 22, 2025

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Key Rehabilitation, Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Psychologist
  • Gardner, KS
  • NPI 1205106457
  Medicare reassignment Care Compare group NPD
• Key Rehabilitation, Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1679328975
  NPD

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1992501613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 W 90TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123051",
            "telephone_number": "816-214-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 W 90TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123051",
            "telephone_number": "816-214-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENISON",
        "first_name": "KIMBERLY",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "04958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Dale Feist
• Abigail Feldt
• Carol J Feltheim, M.D.
• Theodore J Felts, MD
• Femme Focus, L.L.C.
• Erin Ann Fenley, RD
• Kyle Fenton, DC
• Robert Walker Ferebee
• Jessica Brous Fergason, APRN
• Gregory Lynn Ferguson, LPC

• Mental Health Counselor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.