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KIMBERLY C SHIELDS LCPC
NPI 1417796012
Counselor - Mental Health in Great Falls, MT

Active since May 22, 2024PECOS Enrolled
1900 2ND AVE S, GREAT FALLS, MT 59405(406) 454-6973(406) 791-9277 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Nov 11, 2025, Jun 12, 2025 (3 updates tracked since 2025).

About Kimberly C Shields Lcpc NPPES

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

KIMBERLY C SHIELDS LCPC (NPI 1417796012) is an individual mental health provider in Great Falls, Montana, licensed in Montana (BBH-LCPC-LIC-87655) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Great Falls, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417796012
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY C SHIELDSCredential: LCPC
Location Address1900 2ND AVE SGreat Falls, MT 59405-2704
Mailing Address601 1st Ave NGreat Falls, MT 59401-2510 · (406) 454-6973 · Fax (406) 791-9277
Phone(406) 454-6973
Fax(406) 791-9277
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 22, 2024
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1417796012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MT · BBH-LCPC-LIC-87655
1900 2ND AVE S, Great Falls, MT 59405
Open in Google Maps ↗

Secondary Practice Location 1

Location 1510 1st Ave NGreat Falls, MT 59401-2592 · Phone (406) 454-6973 · Fax (406) 791-9277

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 C Shields Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092293993
PECOS Enrollment IDI20260202001620
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 3

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

JUDI L. ROWE ATC
Specialist/Technologist (Athletic Trainer)
1900 2ND AVE S
GREAT FALLS, MT 59405
Cascade County (406) 268-6269
ABIGAIL VENETZ LCPC
Counselor (Mental Health)
1900 2ND AVE S
GREAT FALLS, MT 59405
Cascade County (406) 268-6385
KAREN EVELYN SENFFT LCPC
Counselor (Professional)
1900 2ND AVE S, CENTER FOR MENTAL HEALTH/GREAT FALLS HIGH SCHOOL
GREAT FALLS, MT 59405
Cascade County (406) 268-6340

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 Shields's NPI number?

The NPI number for Kimberly Shields is 1417796012. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Kimberly Shields located?

Kimberly Shields practices at 1900 2nd Ave S, Great Falls, MT 59405. The listed phone number is (406) 454-6973.

What is Kimberly Shields's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Shields enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Shields was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.