Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KIMBERLY BACON LPC
NPI 1366818452
Counselor - Professional in Purcell, OK

Q: What is Kimberly Bacon's NPI number?

The NPI number for Kimberly Bacon is 1366818452. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Q: What is Kimberly Bacon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Bacon was last updated on July 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 12, 2015PECOS Enrolled

112 W MAIN ST, PURCELL, OK 73080(405) 527-1785(405) 527-1084 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2026, Mar 9, 2023 (2 updates tracked since 2023).

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About Kimberly Bacon Lpc NPPES

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

KIMBERLY BACON LPC (NPI 1366818452) is an individual professional provider in Purcell, Oklahoma, licensed in Oklahoma (07469) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366818452

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIMBERLY BACONCredential: LPC

Location Address112 W MAIN STPurcell, OK 73080-4220

Mailing AddressPo Box 662Purcell, OK 73080-0662 · (405) 527-1785 · Fax (405) 527-1084

Phone(405) 527-1785

Fax(405) 527-1084

Sole ProprietorNo

Enumeration DateAugust 12, 2015

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1366818452 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 OK · 07469

112 W MAIN ST, Purcell, OK 73080

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 20

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

JAMES AHERN M.ED., LPC

Counselor (Professional)