MS. KIMBERLY J STAFFORD LPC
NPI 1306011283
Counselor - Professional in Detroit, MI
About Ms. Kimberly J Stafford Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY J STAFFORD LPC (NPI 1306011283) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401010739) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kimberly J Stafford Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Stafford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48210
- Reassigned Medicare billing, Michigan enrollment
- 23 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stafford's NPI number?
The NPI number for Kimberly Stafford is 1306011283. It was assigned to this individual provider in the NPPES registry on April 23, 2008.
Where is Kimberly Stafford located?
Kimberly Stafford practices at 243 Lakewood St, Detroit, MI 48215. The listed phone number is (313) 420-9537.
What is Kimberly Stafford's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kimberly Stafford enrolled in Medicare?
Yes. Kimberly Stafford is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Stafford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stafford reassigns Medicare benefits to Covenant Community Care, Inc. (Detroit, MI). 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 Stafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Stafford accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kimberly Stafford 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 Stafford was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Kimberly J Stafford, LPC · NPI 1306011283
Professional provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 23, 2008.
## Identity
- **NPI:** 1306011283 (Entity type: Individual)
- **Enumerated:** April 23, 2008
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401010739 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 243 LAKEWOOD ST, Detroit, MI 48215-3151
- **Phone:** (313) 420-9537
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Covenant Community Care, Inc. (NPI 1720134943, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1306011283) · Data from the CMS NPPES public registry.