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KIMBERLY MINER PHD
NPI 1073339164
Psychologist - Clinical in Ashburn, VA

Active since November 23, 2024Opted out of Medicare · through Dec 9, 2027
22042 WATER RUN CT, ASHBURN, VA 20148(703) 639-7419 Get Directions Write a Review

NPPES record last updated: November 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Miner Phd NPPES

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

KIMBERLY MINER PHD (NPI 1073339164) is an individual clinical provider in Ashburn, Virginia, licensed in Virginia (0810002784) and active in the NPI registry since November 2024. She has opted out of Medicare through December 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073339164
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKIMBERLY MINERCredential: PHD
Location Address22042 WATER RUN CTAshburn, VA 20148-7116
Mailing Address22042 Water Run CtAshburn, VA 20148-7116
Phone(703) 639-7419
Sole ProprietorYes
Enumeration DateNovember 23, 2024
NPPES CertifiedNovember 23, 2024
✔ NPI 1073339164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810002784
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
22042 WATER RUN CT, Ashburn, VA 20148
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly Miner Phd 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 December 9, 2025 through December 9, 2027.

Opt-Out Effective DateDecember 9, 2025
Opt-Out In Effect ThroughDecember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Miner's NPI number?

The NPI number for Kimberly Miner is 1073339164. It was assigned to this individual provider in the NPPES registry on November 23, 2024.

Where is Kimberly Miner located?

Kimberly Miner practices at 22042 Water Run Ct, Ashburn, VA 20148. The listed phone number is (703) 639-7419.

What is Kimberly Miner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kimberly Miner enrolled in Medicare?

No. Kimberly Miner has opted out of Medicare through December 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimberly Miner was last updated on November 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.