KIMBERLY E MICKELSON LPC
NPI 1487768594
Counselor - Mental Health in El Campo, TX
About Kimberly E Mickelson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY E MICKELSON LPC (NPI 1487768594) is an individual mental health provider in El Campo, Texas, licensed in Texas (17777) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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 E Mickelson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Mickelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wharton, TX 77488
- Reassigned Medicare billing, Texas enrollment
- 29 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.
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 Mickelson's NPI number?
The NPI number for Kimberly Mickelson is 1487768594. It was assigned to this individual provider in the NPPES registry on August 18, 2006.
Where is Kimberly Mickelson located?
Kimberly Mickelson practices at 2303 Raun Ln, El Campo, TX 77437. The listed phone number is (979) 541-3375.
What is Kimberly Mickelson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Mickelson enrolled in Medicare?
Yes. Kimberly Mickelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Mickelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mickelson reassigns Medicare benefits to Matagorda Episcopal Health Outreach Program (Wharton, 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 Mickelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Mickelson 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 2 other insurers list Kimberly Mickelson 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 Mickelson was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kimberly E Mickelson, LPC · NPI 1487768594
Mental Health provider in El Campo, Texas. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1487768594 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 17777 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2303 RAUN LN, El Campo, TX 77437-2127
- **Phone:** (979) 541-3375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Matagorda Episcopal Health Outreach Program (NPI 1144831835, Wharton, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 5, 2008
- **Other identifiers:** Other 164430403 (TX); Medicaid 164430402 (TX); Other 164430404 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1487768594) · Data from the CMS NPPES public registry.