KIMBERLY DEMETRI MA, LPC
NPI 1578886859
Counselor in Dallas, TX
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
Specialties & Licenses 2
Other Names 1
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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Demetri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75211
- Reassigned Medicare billing, Texas enrollment
- 173 clinicians in this Medicare group
Killeen, TX 76549
- Reassigned Medicare billing, Texas enrollment
- 17 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.
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.
Which organizations bill Medicare for Kimberly Demetri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Demetri reassigns Medicare benefits to 2 organizations: Dallas County Mental Health & Mental Retardation Center (Dallas, TX) and Angels On The Horizon Therapeutic Center, LLC (Killeen, TX). 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 Demetri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Demetri accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 Demetri, MA, LPC · NPI 1578886859
Counselor provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since March 1, 2010.
## Identity
- **NPI:** 1578886859 (Entity type: Individual)
- **Enumerated:** March 1, 2010
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** 63912 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9708 SKILLMAN ST, Dallas, TX 75243-5150
- **Phone:** (214) 743-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dallas County Mental Health & Mental Retardation Center (NPI 1023239886, Dallas, TX); Angels On The Horizon Therapeutic Center, LLC (NPI 1780067090, Killeen, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578886859) · Data from the CMS NPPES public registry.