KIMBERLY RUTH TAYLOR LPC
NPI 1528346707
Counselor - Professional in Detroit, MI

Active since July 22, 2011PECOS EnrolledAccepts Medicare Assignment
4880 LAWNDALE ST, DETROIT, MI 48210(313) 846-6030(313) 846-7718 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2020, Jul 12, 2018 (2 updates tracked since 2018).

About Kimberly Ruth Taylor Lpc NPPES

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

KIMBERLY RUTH TAYLOR LPC (NPI 1528346707) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401011150) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1528346707
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY RUTH TAYLORCredential: LPC
Location Address4880 LAWNDALE STDetroit, MI 48210-2010
Mailing Address20066 Midway AveSouthfield, MI 48075-3813 · (248) 943-5196
Fax(313) 846-7718
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 22, 2011
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1528346707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401011150
Also ListedCounselorTaxonomy 101Y00000X · License 6401011150 (MI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License IF0000000185872 (MI)
4880 LAWNDALE ST, Detroit, MI 48210

Accepted Insurance

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

Kimberly Ruth Taylor 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.

PECOS PAC ID9537414081
PECOS Enrollment IDI20240123001603, I20240329002251, I20240401002895
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 Reassignments

3

Medicare enrollment records show Kimberly Taylor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4880 LAWNDALE ST
Detroit, MI 48210
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
Psychiatry
53 FRONTAGE RD FL 1
Hampton, NJ 08827
  • Reassigned Medicare billing, New Jersey enrollment
  • 98 clinicians in this Medicare group
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Connecticut, Michigan and Oklahoma enrollments
  • 57 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.

In Home Supportive Care
4880 LAWNDALE ST
DETROIT, MI 48210
Social Worker
4880 LAWNDALE ST
DETROIT, MI 48210
Social Worker
4880 LAWNDALE ST
DETROIT, MI 48210
Social Worker (Clinical)
4880 LAWNDALE ST
DETROIT, MI 48210
Family Medicine
4880 LAWNDALE ST
DETROIT, MI 48210
Social Worker (Clinical)
4880 LAWNDALE ST
DETROIT, MI 48210
Clinic/Center (Federally Qualified Health Center (FQHC))
4880 LAWNDALE ST
DETROIT, MI 48210
Counselor (Addiction (Substance Use Disorder))
4880 LAWNDALE ST
DETROIT, MI 48210

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 Taylor's NPI number?

The NPI number for Kimberly Taylor is 1528346707. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Kimberly Taylor located?

Kimberly Taylor practices at 4880 Lawndale St, Detroit, MI 48210. The listed phone number is (313) 846-6030.

What is Kimberly Taylor's specialty?

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

Is Kimberly Taylor enrolled in Medicare?

Yes. Kimberly Taylor 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 organizations bill Medicare for Kimberly Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Taylor reassigns Medicare benefits to 3 organizations: American Indian Health And Family Services Of Southeastern Mi Inc (Detroit, MI), Mccd New Jersey Psychiatry Services LLC (Hampton, NJ) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). Each 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 Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Taylor accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kimberly Taylor 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 Taylor was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.