KIMBERLY DEMETRI MA, LPC
NPI 1578886859
Counselor in Dallas, TX

Active since March 01, 2010PECOS EnrolledAccepts Medicare Assignment
9708 SKILLMAN ST, DALLAS, TX 75243(214) 743-1200 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, Nov 15, 2023, Jan 27, 2023 and 1 more (4 updates tracked since 2022).

About Kimberly Demetri Ma, Lpc NPPES

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

KIMBERLY DEMETRI MA, LPC (NPI 1578886859) is an individual counselor in Dallas, Texas, licensed in Texas (63912) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1578886859
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY DEMETRICredential: MA, LPC
Location Address9708 SKILLMAN STDallas, TX 75243-5150
Mailing Address9708 Skillman StDallas, TX 75243-5150 · (214) 743-1200
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 1, 2010
Last NPPES UpdateNovember 10, 20254 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1578886859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in TX · 63912
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 63912
9708 SKILLMAN ST, Dallas, TX 75243

Other Names 1

Former Name (1)Kimberly Parker Ma Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Demetri Ma, 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 ID5799134276
PECOS Enrollment IDI20231208002092
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.

Community/Behavioral Health
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Mental Health)
9708 SKILLMAN ST
DALLAS, TX 75243
Behavior Analyst
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Professional)
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Mental Health)
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Mental Health)
9708 SKILLMAN ST
DALLAS, TX 75243
Counselor (Mental Health)
9708 SKILLMAN ST
DALLAS, TX 75243
Health Maintenance Organization
9708 SKILLMAN ST
DALLAS, TX 75243

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 Demetri's NPI number?

The NPI number for Kimberly Demetri is 1578886859. It was assigned to this individual provider in the NPPES registry on March 1, 2010. The provider is also known as Kimberly Parker Ma Lpc.

Where is Kimberly Demetri located?

Kimberly Demetri practices at 9708 Skillman St, Dallas, TX 75243. The listed phone number is (214) 743-1200.

What is Kimberly Demetri's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kimberly Demetri enrolled in Medicare?

Yes. Kimberly Demetri 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.

What insurance does Kimberly Demetri accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Kimberly Demetri 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 Demetri was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.