KIMBERLY ANN PATRICK M.A.
NPI 1528314341
Counselor - Professional in Pueblo, CO

Q: What is Kimberly Patrick's NPI number?

The NPI number for Kimberly Patrick is 1528314341. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Q: What is Kimberly Patrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Patrick was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 30, 2012PECOS Enrolled

1012 W ABRIENDO AVE, PUEBLO, CO 81004(719) 545-2746(719) 542-9638 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2021, Aug 22, 2018 (2 updates tracked since 2018).

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About Kimberly Ann Patrick M.a. NPPES

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

KIMBERLY ANN PATRICK M.A. (NPI 1528314341) is an individual professional provider in Pueblo, Colorado, licensed in Colorado (LPC0012252) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528314341

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIMBERLY ANN PATRICKCredential: M.A.

Location Address1012 W ABRIENDO AVEPueblo, CO 81004

Mailing Address41 Montebello Rd Ste 204Pueblo, CO 81001-1379 · (719) 545-2746 · Fax (719) 545-4100

Phone(719) 545-2746

Fax(719) 542-9638

Sole ProprietorNo

Enumeration DateJuly 30, 2012

Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration

NPPES CertifiedOctober 1, 2021

✔ NPI 1528314341 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 CO · LPC0012252

1012 W ABRIENDO AVE, Pueblo, CO 81004

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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 Ann Patrick M.a. 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.

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.

GINA SAGONA

Counselor (Professional)