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KIMBERLY DUVERNOIS
NPI 1104691922
Counselor - Mental Health in El Paso, TX

Active since November 21, 2023PECOS Enrolled
537 MOONDALE DR, EL PASO, TX 79912(915) 760-3218 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Duvernois NPPES

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

KIMBERLY DUVERNOIS (NPI 1104691922) is an individual mental health provider in El Paso, Texas, licensed in New Mexico (CTB-2023-0038) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104691922
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY DUVERNOIS
Location Address537 MOONDALE DREl Paso, TX 79912-4235
Mailing Address537 Moondale DrEl Paso, TX 79912-4235
Phone(915) 760-3218
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 21, 2023
NPPES CertifiedNovember 21, 2023
✔ NPI 1104691922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · CTB-2023-0038
537 MOONDALE DR, El Paso, TX 79912
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Duvernois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931678018
PECOS Enrollment IDI20260518004020
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 Duvernois's NPI number?

The NPI number for Kimberly Duvernois is 1104691922. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Kimberly Duvernois located?

Kimberly Duvernois practices at 537 Moondale Dr, El Paso, TX 79912. The listed phone number is (915) 760-3218.

What is Kimberly Duvernois's specialty?

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

Is Kimberly Duvernois enrolled in Medicare?

Yes. Kimberly Duvernois is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Duvernois was last updated on November 21, 2023. 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.