KIMBERLY BROOK FOSS
NPI 1629692561
Counselor - Mental Health in Glendale, AZ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since June 06, 2020PECOS Enrolled

17235 N 75TH AVE, GLENDALE, AZ 85308(480) 641-1165 Get Directions Write a Review

NPPES record last updated: June 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kimberly Brook Foss NPPES

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

KIMBERLY BROOK FOSS (NPI 1629692561) is an individual mental health provider in Glendale, Arizona and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629692561

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLY BROOK FOSS

Location Address17235 N 75TH AVEGlendale, AZ 85308-0831

Mailing Address3619 W Tulsa StChandler, AZ 85226-4045 · (480) 371-5043

Phone(480) 641-1165

Sole ProprietorNo

Enumeration DateJune 6, 2020

NPPES CertifiedJune 6, 2020

✔ NPI 1629692561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

17235 N 75TH AVE, Glendale, AZ 85308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Brook Foss 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.