MS. KIMBERLY LISLE MARTIN LPC
NPI 1437419702
Counselor - Professional in Jasper, GA
About Ms. Kimberly Lisle Martin Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY LISLE MARTIN LPC (NPI 1437419702) is an individual professional provider in Jasper, Georgia, licensed in Georgia (LPC003867) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Kimberly Lisle Martin Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Highland Rivers Community Service Board
- 142 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JASPER, GA 30143
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 Martin's NPI number?
The NPI number for Kimberly Martin is 1437419702. It was assigned to this individual provider in the NPPES registry on May 21, 2012.
Where is Kimberly Martin located?
Kimberly Martin practices at 323 Roland Rd, Jasper, GA 30143. The listed phone number is (706) 253-1112.
What is Kimberly Martin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kimberly Martin enrolled in Medicare?
Yes. Kimberly Martin 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 organization bills Medicare for Kimberly Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Martin reassigns Medicare benefits to Highland Rivers Csb (Jasper, GA). 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 Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Martin was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ms. Kimberly Lisle Martin, LPC · NPI 1437419702
Professional provider in Jasper, Georgia. Individual provider, active in the CMS NPPES registry since May 21, 2012.
## Identity
- **NPI:** 1437419702 (Entity type: Individual)
- **Enumerated:** May 21, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC003867 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 323 ROLAND RD, Jasper, GA 30143-5336
- **Phone:** (706) 253-1112 · **Fax:** (706) 253-1120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Highland Rivers Csb (NPI 1538222971, Jasper, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** May 21, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1437419702) · Data from the CMS NPPES public registry.