KIMBERLY ANN REARDON MA, LMHC
NPI 1154650307
Counselor - Mental Health in Tacoma, WA

Active since December 17, 2009PECOS EnrolledAccepts Medicare Assignment
15 OREGON AVE STE 111, TACOMA, WA 98409(253) 861-5165 Get Directions Write a Review

NPPES record last updated: June 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2021, Dec 15, 2015 (2 updates tracked since 2015).

About Kimberly Ann Reardon Ma, Lmhc NPPES

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

KIMBERLY ANN REARDON MA, LMHC (NPI 1154650307) is an individual mental health provider in Tacoma, Washington, licensed in Washington (LH60398032) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154650307
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY ANN REARDONCredential: MA, LMHC
Location Address15 OREGON AVE STE 111Tacoma, WA 98409-7461
Mailing Address15 Oregon Ave Ste 111Tacoma, WA 98409-7461 · (253) 861-5165
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 17, 2009
Last NPPES UpdateJune 4, 20222 updates tracked since enumeration
NPPES CertifiedJune 4, 2022
NPI 1154650307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WA · LH60398032 Licensed in WA · RC00046380
15 OREGON AVE STE 111, Tacoma, WA 98409

Other Names 1

Former Name (1)Kimberly Ann Bussey

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Ann Reardon Ma, Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840723359
PECOS Enrollment IDI20241023000051
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.

Other Providers at the Same Location NPPES 11

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

Counselor (Mental Health)
15 OREGON AVE STE 111
TACOMA, WA 98409
Counselor (Mental Health)
15 OREGON AVE STE 111
TACOMA, WA 98409
Community/Behavioral Health
15 OREGON AVE STE 111
TACOMA, WA 98409
Counselor (Mental Health)
15 OREGON AVE STE 111
TACOMA, WA 98409
Counselor
15 OREGON AVE STE 111
TACOMA, WA 98409
Counselor
15 OREGON AVE STE 111
TACOMA, WA 98409
Clinic/Center (Mental Health (Including Community Mental Health Center))
15 OREGON AVE STE 111
TACOMA, WA 98409
Counselor (Mental Health)
15 OREGON AVE STE 111
TACOMA, WA 98409

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 Reardon's NPI number?

The NPI number for Kimberly Reardon is 1154650307. It was assigned to this individual provider in the NPPES registry on December 17, 2009. The provider is also known as Kimberly Ann Bussey.

Where is Kimberly Reardon located?

Kimberly Reardon practices at 15 Oregon Ave Ste 111, Tacoma, WA 98409. The listed phone number is (253) 861-5165.

What is Kimberly Reardon's specialty?

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

Is Kimberly Reardon enrolled in Medicare?

Yes. Kimberly Reardon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Reardon accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kimberly Reardon 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 Kimberly Reardon was last updated on June 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.