KIMBERLY JOELL BATES LPCC
NPI 1114365590
Counselor - Professional in Louisville, KY

Q: What is Kimberly Bates's NPI number?

The NPI number for Kimberly Bates is 1114365590. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Q: What is Kimberly Bates's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Bates was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 07, 2013PECOS Enrolled

2225 W BROADWAY, LOUISVILLE, KY 40211(502) 589-8910 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2019, Jul 29, 2019 (2 updates tracked since 2019).

On this page

About Kimberly Joell Bates Lpcc NPPES

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

KIMBERLY JOELL BATES LPCC (NPI 1114365590) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (251758) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Radcliff.

NPPES Registry Identity

NPI1114365590

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIMBERLY JOELL BATESCredential: LPCC

Location Address2225 W BROADWAYLouisville, KY 40211-1003

Mailing Address10101 Linn Station Rd Ste 600Louisville, KY 40223-3818 · (502) 589-8600

Phone(502) 589-8910

Sole ProprietorYes

Enumeration DateJune 7, 2013

Last NPPES UpdateAugust 5, 20192 updates tracked since enumeration

✔ NPI 1114365590 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 KY · 251758

2225 W BROADWAY, Louisville, KY 40211

Open in Google Maps ↗

Secondary Practice Location 1

Location 11072 S Dixie BlvdRadcliff, KY 40160-1103 · Phone (270) 765-2605 ext. 1936 · Fax (270) 234-8572

Other Identifiers 1

Medicaid7100610320KY

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 Joell Bates Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

CAROL NELSON

Social Worker (Clinical)