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

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: November 01, 2026.

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

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Patrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Mental Health (Including Community Mental Health Center)
1012 W ABRIENDO AVE
Pueblo, CO 81004
  • Reassigned Medicare billing, Colorado enrollment
  • 98 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 20

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

Counselor (Professional)
1012 W ABRIENDO AVE
PUEBLO, CO 81004
Counselor (Professional)
1012 W ABRIENDO AVE
PUEBLO, CO 81004
Marriage & Family Therapist
1012 W ABRIENDO AVE
PUEBLO, CO 81004
Counselor
1012 W ABRIENDO AVE
PUEBLO, CO 81004
Counselor (Mental Health)
1012 W ABRIENDO AVE
PUEBLO, CO 81004
Counselor (Professional)
1012 W ABRIENDO AVE
PUEBLO, CO 81004
Counselor
1012 W ABRIENDO AVE
PUEBLO, CO 81004
Social Worker (Clinical)
1012 W ABRIENDO AVE
PUEBLO, CO 81004

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 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.

Where is Kimberly Patrick located?

Kimberly Patrick practices at 1012 W Abriendo Ave, Pueblo, CO 81004. The listed phone number is (719) 545-2746.

What is Kimberly Patrick's specialty?

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

Is Kimberly Patrick enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Patrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Patrick reassigns Medicare benefits to Health Solutions (Pueblo, CO). 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 Patrick'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 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 5 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.