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MRS. KIM SHIRK LPC, NCC
NPI 1114093176
Counselor - Professional in Lees Summit, MO

Active since November 28, 2006PECOS Enrolled
410B SE 3RD ST STE 101, LEES SUMMIT, MO 64063(816) 525-5333(816) 525-5334 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kim Shirk Lpc, Ncc NPPES

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

MRS. KIM SHIRK LPC, NCC (NPI 1114093176) is an individual professional provider in Lees Summit, Missouri, licensed in Missouri (2001021092) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1114093176
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KIM SHIRKCredential: LPC, NCC
Location Address410B SE 3RD ST STE 101Lees Summit, MO 64063-2842
Mailing Address410b Se 3rd St Ste 101Lees Summit, MO 64063-2842 · (816) 525-5333 · Fax (816) 525-5334
Phone(816) 525-5333
Fax(816) 525-5334
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 28, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1114093176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2001021092
410B SE 3RD ST STE 101, Lees Summit, MO 64063
Open in Google Maps ↗

Other Identifiers 2

Medicaid497517904MO
Medicare UPIN900112933MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kim Shirk Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476036427
PECOS Enrollment IDI20260309002253
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.

Medicare Billing Reassignment

Medicare enrollment records show Kim Shirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
572 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEBORAH ANN RYKEN MS, PLPC
Counselor (Professional)
410B SE 3RD ST STE 101
LEES SUMMIT, MO 64063
Jackson County (816) 522-8866
MR. SCOTT A MURPHY LPC
Counselor (Professional)
410B SE 3RD ST STE 101
LEES SUMMIT, MO 64063
Jackson County (816) 525-5333

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 Kim Shirk's NPI number?

The NPI number for Kim Shirk is 1114093176. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Kim Shirk located?

Kim Shirk practices at 410B SE 3rd St Ste 101, Lees Summit, MO 64063. The listed phone number is (816) 525-5333.

What is Kim Shirk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kim Shirk enrolled in Medicare?

Yes. Kim Shirk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Shirk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Shirk reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The 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 Kim Shirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Shirk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica, Select Health and UnitedHealthcare list Kim Shirk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Shirk was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.