KIMBERLY BASS LPC, CPCS
NPI 1053755959
Counselor - Professional in Ellijay, GA
About Kimberly Bass Lpc, Cpcs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY BASS LPC, CPCS (NPI 1053755959) is an individual professional provider in Ellijay, Georgia, licensed in Georgia (LPC005280) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Bass Lpc, Cpcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Bass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Moultrie, GA 31788
- Reassigned Medicare billing, Georgia enrollment
- 46 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Georgia enrollment
- 994 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bass's NPI number?
The NPI number for Kimberly Bass is 1053755959. It was assigned to this individual provider in the NPPES registry on April 22, 2013.
Where is Kimberly Bass located?
Kimberly Bass practices at 71 Blue Mountain Ln, Ellijay, GA 30536. The listed phone number is (122) 930-0864.
What is Kimberly Bass's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kimberly Bass enrolled in Medicare?
Yes. Kimberly Bass is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly Bass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Bass reassigns Medicare benefits to 2 organizations: Turning Point Care Center LLC (Moultrie, GA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Bass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Bass was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kimberly Bass, LPC, CPCS · NPI 1053755959
Professional provider in Ellijay, Georgia. Individual provider, active in the CMS NPPES registry since April 22, 2013.
## Identity
- **NPI:** 1053755959 (Entity type: Individual)
- **Enumerated:** April 22, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC005280 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 71 BLUE MOUNTAIN LN, Ellijay, GA 30536-6952
- **Phone:** (122) 930-0864
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Turning Point Care Center LLC (NPI 1205809571, Moultrie, GA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053755959) · Data from the CMS NPPES public registry.