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

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: October 18, 2026.

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

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
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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Seven Counties Services, Inc.
12 mi
Mental Health (Including Community Mental Health Center)
10401 LINN STATION RD STE 100
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky enrollment
  • 309 clinicians in this Medicare group
NPI 1598793671 (502) 589-8600

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 20

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

CAROL NELSON
Social Worker (Clinical)
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
MANOOCHER MOFIDI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
BRITTANY SKIPPER LPCC
Counselor (Mental Health)
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
DR. BRANDON MITCHELL VAN ZILE PHARMD
Pharmacist
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 774-8296
STEPHANY POND LPAT, ATR-BC
Art Therapist
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
JASEN JACKSON
Counselor
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-1100
REZA GHARACHAMANI ASL
Case Manager/Care Coordinator
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
ADRIANNE P MARSH PHARMD
Pharmacist
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 774-8299

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 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.

Where is Kimberly Bates located?

Kimberly Bates practices at 2225 W Broadway, Louisville, KY 40211. The listed phone number is (502) 589-8910.

What is Kimberly Bates's specialty?

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

Is Kimberly Bates enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Bates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Bates reassigns Medicare benefits to Seven Counties Services, Inc. (Louisville, KY). 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 Kimberly Bates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 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.