1. Home
  2. Directory
  3. Massachusetts
  4. Dedham
  5. Counselor
  6. NPI Profile

MS. KIMBERLY SCHMIDT BEVANS MA
NPI 1053558395
Counselor - Mental Health in Dedham, MA

Active since January 08, 2009Opted out of Medicare · through Jan 1, 2028
135 COLBURN ST, DEDHAM, MA 02026(617) 651-0996 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Schmidt Bevans Ma NPPES

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

MS. KIMBERLY SCHMIDT BEVANS MA (NPI 1053558395) is an individual mental health provider in Dedham, Massachusetts and active in the NPI registry since January 2009. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1053558395
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KIMBERLY SCHMIDT BEVANSCredential: MA
Location Address135 COLBURN STDedham, MA 02026-2305
Mailing Address120 North Ave, Apt 3Abington, MA 02351-1747 · (508) 580-4691 · Fax (508) 588-5751
Phone(617) 651-0996
Sole ProprietorYes
Enumeration DateJanuary 8, 2009
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1053558395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
135 COLBURN ST, Dedham, MA 02026
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kimberly Schmidt Bevans Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Bevans's NPI number?

The NPI number for Kimberly Bevans is 1053558395. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is Kimberly Bevans located?

Kimberly Bevans practices at 135 Colburn St, Dedham, MA 02026. The listed phone number is (617) 651-0996.

What is Kimberly Bevans's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Bevans enrolled in Medicare?

No. Kimberly Bevans has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Bevans was last updated on November 3, 2021. 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.