MS. KIMBERLY ANN EAGLE LPCC
NPI 1316280621
Counselor - Professional in Albuquerque, NM

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
3100 TENNESSEE ST NE, ALBUQUERQUE, NM 87110(505) 235-4266 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Kimberly Ann Eagle Lpcc NPPES

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

MS. KIMBERLY ANN EAGLE LPCC (NPI 1316280621) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CCMH0206481) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1316280621
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KIMBERLY ANN EAGLECredential: LPCC
Location Address3100 TENNESSEE ST NEAlbuquerque, NM 87110-2433
Mailing Address3100 Tennessee St NeAlbuquerque, NM 87110-2433 · (505) 235-4266
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 4, 2013
Last NPPES UpdateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1316280621 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 NM · CCMH0206481
3100 TENNESSEE ST NE, Albuquerque, NM 87110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly Ann Eagle Lpcc 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 ID6608229554
PECOS Enrollment IDI20240127000420
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 Eagle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
4169 MONTGOMERY BLVD NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 18 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.

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 Eagle's NPI number?

The NPI number for Kimberly Eagle is 1316280621. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Kimberly Eagle located?

Kimberly Eagle practices at 3100 Tennessee St NE, Albuquerque, NM 87110. The listed phone number is (505) 235-4266.

What is Kimberly Eagle's specialty?

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

Is Kimberly Eagle enrolled in Medicare?

Yes. Kimberly Eagle 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.

Which organization bills Medicare for Kimberly Eagle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Eagle reassigns Medicare benefits to Talking Circles Therapy & Wellness (Albuquerque, NM). 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 Eagle'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 Eagle was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.