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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Bacon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-County Counseling, Inc.
Same address
Mental Health (Including Community Mental Health Center)
112 W MAIN ST
Purcell, OK 73080
  • Reassigned Medicare billing, Oklahoma enrollment
  • 5 clinicians in this Medicare group
NPI 1003855925 (405) 527-1785

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 20

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

MULTI-COUNTY COUNSELING, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
112 W MAIN ST
PURCELL, OK 73080
McClain County (405) 527-1785
TANYA WILSON LPN
Case Manager/Care Coordinator
112 W MAIN ST
PURCELL, OK 73080
McClain County (405) 527-1785
MRS. DESA LYNN SMITH MSPS, LPC
Counselor (Professional)
112 W MAIN ST
PURCELL, OK 73080
McClain County (405) 527-1785
CAROLINE GWYNN
Social Worker
112 W MAIN ST
PURCELL, OK 73080
McClain County (405) 424-7711
MICHELLE MAUNEY LCSW
Social Worker (Clinical)
112 W MAIN ST
PURCELL, OK 73080
McClain County (405) 527-1785
PHILIP BIVENS MS, LPC-C
Counselor
112 W MAIN ST
PURCELL, OK 73080
McClain County (405) 527-1785
TRACY BREWER MSED, LPC
Counselor (Professional)
112 W MAIN ST
PURCELL, OK 73080
McClain County (405) 527-1785
MALLORY WHITNEY LPC-C
Counselor (Mental Health)
112 W MAIN ST
PURCELL, OK 73080
McClain County (405) 527-1785

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 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.

Where is Kimberly Bacon located?

Kimberly Bacon practices at 112 W Main St, Purcell, OK 73080. The listed phone number is (405) 527-1785.

What is Kimberly Bacon's specialty?

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

Is Kimberly Bacon enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Bacon reassigns Medicare benefits to Multi-County Counseling, Inc. (Purcell, OK). 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 Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Bacon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kimberly Bacon 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 Bacon was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.