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MS. KIMBERLY SUE POWELL LPC
NPI 1306356803
Counselor - Professional in Shreveport, LA

Active since October 10, 2017PECOS Enrolled
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104(318) 222-8511 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2023, Nov 7, 2022, Oct 10, 2017 (3 updates tracked since 2017).

About Ms. Kimberly Sue Powell Lpc NPPES

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

MS. KIMBERLY SUE POWELL LPC (NPI 1306356803) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (5603) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2007).

NPPES Registry Identity

NPI1306356803
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KIMBERLY SUE POWELLCredential: LPC
Location Address2000 FAIRFIELD AVEShreveport, LA 71104-2002
Mailing Address2000 Fairfield AveShreveport, LA 71104-2002 · (318) 222-8511
Phone(318) 222-8511
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2007
Enumeration DateOctober 10, 2017
Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1306356803 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 LA · 5603
2000 FAIRFIELD AVE, Shreveport, LA 71104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Sue Powell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385136605
PECOS Enrollment IDI20251124004521
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 16

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

JEREMY HEITH LEWIS
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
JODY LOWERY WALDO CIT
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
THERESA JORDAN
Counselor
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 734-8232
LUCILLE B HAYWARD LPC, LAC
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
JACQULINE WEBB CIT
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
CLAIRE CONERLY MADDEN CIT
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511
MR. ELLIOT JXAVIER LEWIS RAC
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 226-2890
KENNA J LATIOLAIS LAC
Counselor (Addiction (Substance Use Disorder))
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8511

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 Powell's NPI number?

The NPI number for Kimberly Powell is 1306356803. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Kimberly Powell located?

Kimberly Powell practices at 2000 Fairfield Ave, Shreveport, LA 71104. The listed phone number is (318) 222-8511.

What is Kimberly Powell's specialty?

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

Is Kimberly Powell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Powell was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.