MRS. KIMMIE MEDINA EARLEY
NPI 1063621183
Marriage & Family Therapist in Ocean Springs, MS

Q: What is Kimmie Earley's NPI number?

The NPI number for Kimmie Earley is 1063621183. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Kimmie Earley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kimmie Earley enrolled in Medicare?

No. Kimmie Earley has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kimmie Earley was last updated on May 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 22, 2007Opted out of Medicare · through Jan 23, 2028

6408 PALMETTO POINTE DR, OCEAN SPRINGS, MS 39564(910) 616-9446 Get Directions Write a Review

NPPES record last updated: May 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kimmie Medina Earley NPPES

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

MRS. KIMMIE MEDINA EARLEY (NPI 1063621183) is an individual marriage & family therapist in Ocean Springs, Mississippi, licensed in Mississippi (T0509) and active in the NPI registry since May 2007. She has opted out of Medicare through January 23, 2028 and maintains a secondary practice location in Whiteville.

NPPES Registry Identity

NPI1063621183

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. KIMMIE MEDINA EARLEY

Location Address6408 PALMETTO POINTE DROcean Springs, MS 39564-8823

Mailing Address6408 Palmetto Pointe DrOcean Springs, MS 39564-8823 · (910) 616-9446

Phone(910) 616-9446

Sole ProprietorYes

Enumeration DateMay 22, 2007

Last NPPES UpdateMay 5, 2019

✔ NPI 1063621183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in MS · T0509✔ Licensed in NC · 1342

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

6408 PALMETTO POINTE DR, Ocean Springs, MS 39564

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Secondary Practice Location 1

Location 1603 S Canal StWhiteville, NC 28472-4256 · Phone (910) 642-3700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kimmie Medina Earley 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 23, 2026 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2026

Opt-Out In Effect ThroughJanuary 23, 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 Kimmie Earley's NPI number?

The NPI number for Kimmie Earley is 1063621183. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Kimmie Earley located?

Kimmie Earley practices at 6408 Palmetto Pointe Dr, Ocean Springs, MS 39564. The listed phone number is (910) 616-9446.

What is Kimmie Earley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kimmie Earley enrolled in Medicare?

No. Kimmie Earley has opted out of Medicare through January 23, 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 Kimmie Earley was last updated on May 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.