KIM MARIE THURSTON DR
NPI 1316720584
Psychologist in Warren, PA

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment
1003 PENNSYLVANIA AVE W, WARREN, PA 16365(814) 817-1400(814) 817-1447 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kim Marie Thurston Dr NPPES

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

KIM MARIE THURSTON DR (NPI 1316720584) is an individual psychologist in Warren, Pennsylvania, licensed in Pennsylvania (PS019851) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316720584
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIM MARIE THURSTONCredential: DR
Location Address1003 PENNSYLVANIA AVE WWarren, PA 16365-1876
Mailing Address800 E Main StBradford, PA 16701-3278 · (814) 817-1400 · Fax (814) 817-1447
Fax(814) 817-1447
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1316720584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in PA · PS019851
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1003 PENNSYLVANIA AVE W, Warren, PA 16365

Secondary Practice Location 1

Location 11885 Market StWarren, PA 16365-1277 · Phone (814) 723-1832 · Fax (814) 817-1447

Accepted Insurance

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

Kim Marie Thurston Dr 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 ID4183029713
PECOS Enrollment IDI20250827003768
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 Reassignments

2

Medicare enrollment records show Kim Thurston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1885 MARKET ST
Warren, PA 16365
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 20 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1885 MARKET ST
Warren, PA 16365
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Center For Treatment And Education
  • 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.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
1003 PENNSYLVANIA AVE W
WARREN, PA 16365
Psychiatry & Neurology (Psychiatry)
1003 PENNSYLVANIA AVE W
WARREN, PA 16365

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 Kim Thurston's NPI number?

The NPI number for Kim Thurston is 1316720584. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Kim Thurston located?

Kim Thurston practices at 1003 Pennsylvania Ave W, Warren, PA 16365. The listed phone number is (814) 817-1400.

What is Kim Thurston's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kim Thurston enrolled in Medicare?

Yes. Kim Thurston 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 organizations bill Medicare for Kim Thurston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Thurston reassigns Medicare benefits to 2 organizations: Deerfield Behavioral Health Of Warren, LLC (Warren, PA) and Children's Center For Treatment And Education (Warren, PA). Each 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 Kim Thurston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Thurston accept?

Health plans from BridgeSpan Health Company, Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Regence BlueCross BlueShield of Utah list Kim Thurston 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 Kim Thurston was last updated on August 14, 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.