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MRS. KIMBERLY A KELLUM MS/LPC
NPI 1609960376
Counselor - Professional in Munford, TN

Active since October 03, 2006
3865 BEAVER RD, MUNFORD, TN 38058(901) 586-6317(901) 296-0041 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2021, Mar 17, 2018, Nov 6, 2017 (3 updates tracked since 2017).

About Mrs. Kimberly A Kellum Ms/lpc NPPES

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

MRS. KIMBERLY A KELLUM MS/LPC (NPI 1609960376) is an individual professional provider in Munford, Tennessee, licensed in Tennessee (4022) and active in the NPI registry since October 2006. She maintains a secondary practice location in Covington.

NPPES Registry Identity

NPI1609960376
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KIMBERLY A KELLUMCredential: MS/LPC
Location Address3865 BEAVER RDMunford, TN 38058-4277
Mailing AddressPo Box 170Burlison, TN 38015-0170 · (019) 586-6317
Phone(901) 586-6317
Fax(901) 296-0041
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 11, 20213 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1609960376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in TN · 4022✔ Licensed in AR · P0802017
3865 BEAVER RD, Munford, TN 38058
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Secondary Practice Location 1

Location 11390 Highway 51 NCovington, TN 38019-1522 · Phone (901) 476-6759 ext. 103 · Fax (901) 296-0041

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

REVELATION TREE COUNSELING AND WELLNESS, LLC
Counselor (Professional)
3865 BEAVER RD
MUNFORD, TN 38058
Tipton County (901) 586-6317

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 Kellum's NPI number?

The NPI number for Kimberly Kellum is 1609960376. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kimberly Kellum located?

Kimberly Kellum practices at 3865 Beaver Rd, Munford, TN 38058. The listed phone number is (901) 586-6317.

What is Kimberly Kellum's specialty?

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

What insurance does Kimberly Kellum accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kimberly Kellum 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 Kellum was last updated on November 11, 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.