1. Home
  2. Directory
  3. North Carolina
  4. Statesville
  5. Counselor
  6. NPI Profile

MRS. KIMBERLY RUTH MATTINGLY-CLOER
NPI 1053040048
Counselor in Statesville, NC

Active since June 07, 2022PECOS Enrolled
1812 DAVIE AVE, STATESVILLE, NC 28677(704) 450-8277 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberly Ruth Mattingly-cloer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY RUTH MATTINGLY-CLOER (NPI 1053040048) is an individual counselor in Statesville, North Carolina, licensed in North Carolina (C014138) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053040048
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. KIMBERLY RUTH MATTINGLY-CLOER
Location Address1812 DAVIE AVEStatesville, NC 28677-3524
Mailing Address456 Seven Springs LoopStatesville, NC 28625-9137 · (704) 929-6117
Phone(704) 450-8277
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1053040048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · C014138
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1812 DAVIE AVE, Statesville, NC 28677
Open in Google Maps ↗

Other Identifiers 1

Other01Private Pay

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Ruth Mattingly-cloer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779009204
PECOS Enrollment IDI20250428004219
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Mattingly-cloer's NPI number?

The NPI number for Kimberly Mattingly-cloer is 1053040048. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Kimberly Mattingly-cloer located?

Kimberly Mattingly-cloer practices at 1812 Davie Ave, Statesville, NC 28677. The listed phone number is (704) 450-8277.

What is Kimberly Mattingly-cloer's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kimberly Mattingly-cloer enrolled in Medicare?

Yes. Kimberly Mattingly-cloer is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Mattingly-cloer accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kimberly Mattingly-cloer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Mattingly-cloer was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.