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KIMBERLY ELLISON PHD
NPI 1376373456
Psychologist - Clinical in Houston, TX

Active since August 05, 2024PECOS Enrolled
7000 FANNIN ST STE 1910, HOUSTON, TX 77030(713) 500-8300 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 10, 2024, Aug 5, 2024 (2 updates tracked since 2024).

About Kimberly Ellison Phd NPPES

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

KIMBERLY ELLISON PHD (NPI 1376373456) is an individual clinical provider in Houston, Texas, licensed in Texas (40308) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376373456
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKIMBERLY ELLISONCredential: PHD
Location Address7000 FANNIN ST STE 1910Houston, TX 77030-5400
Mailing Address7000 Fannin St Ste 1910Houston, TX 77030-5400 · (713) 500-8300
Phone(713) 500-8300
Sole ProprietorYes
Enumeration DateAugust 5, 2024
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1376373456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 40308
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7000 FANNIN ST STE 1910, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 Ellison Phd 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 Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
0.8 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ASHLEY DAUENHAUER APRN
Nurse Practitioner (Pediatrics)
7000 FANNIN ST STE 1910
HOUSTON, TX 77030
Harris County (713) 500-8300
KATHERINE MARY POPE
Nurse Practitioner (Family)
7000 FANNIN ST STE 1910
HOUSTON, TX 77030
Harris County (713) 500-3600
LINDA SOLAMEN MD
Pediatrics (Developmental - Behavioral Pediatrics)
7000 FANNIN ST STE 1910
HOUSTON, TX 77030
Harris County (713) 500-3600

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 Ellison's NPI number?

The NPI number for Kimberly Ellison is 1376373456. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Kimberly Ellison located?

Kimberly Ellison practices at 7000 Fannin St Ste 1910, Houston, TX 77030. The listed phone number is (713) 500-8300.

What is Kimberly Ellison's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kimberly Ellison enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Ellison reassigns Medicare benefits to Ut Physicians (Houston, TX). 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 Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Ellison accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Kimberly Ellison 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 Ellison was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.