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DENISE KIMBALL
NPI 1669084919
Counselor - Professional in Redmond, OR

Active since August 18, 2020PECOS EnrolledAccepts Medicare Assignment
215 SW 7TH ST, REDMOND, OR 97756(541) 388-8459(541) 388-8116 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2024, Oct 26, 2020, Aug 18, 2020 (3 updates tracked since 2020).

About Denise Kimball NPPES

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

DENISE KIMBALL (NPI 1669084919) is an individual professional provider in Redmond, Oregon, licensed in Oregon (C8616) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669084919
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDENISE KIMBALL
Location Address215 SW 7TH STRedmond, OR 97756-2113
Mailing Address1333 Nw 9th StPrineville, OR 97754-1482 · (541) 388-8459 · Fax (541) 388-8116
Phone(541) 388-8459
Fax(541) 388-8116
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 18, 2020
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1669084919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C8616
215 SW 7TH ST, Redmond, OR 97756
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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

Denise Kimball 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 ID8325585524
PECOS Enrollment IDI20240806002108
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 Reassignment

Medicare enrollment records show Denise Kimball reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rimrock Trails Treatment Services
16 mi
Substance Abuse Treatment, Children
1333 NW 9TH ST
Prineville, OR 97754
  • Reassigned Medicare billing, Oregon enrollment
  • 12 clinicians in this Medicare group
NPI 1194873406 (541) 447-2631

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 11

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

ASHLEY COVARRUBIAS
Counselor (Mental Health)
215 SW 7TH ST
REDMOND, OR 97756
Deschutes County (541) 388-8459
LIANA WHITELEY LCSW
Social Worker (Clinical)
215 SW 7TH ST
REDMOND, OR 97756
Deschutes County (541) 388-8459
SHANNON ARLENE WYLAND QMHA-R
Case Manager/Care Coordinator
215 SW 7TH ST
REDMOND, OR 97756
Deschutes County (541) 388-8459
KELLY HEHER
Counselor (Professional)
215 SW 7TH ST
REDMOND, OR 97756
Deschutes County (541) 388-8459
PIERA E VON GLAHN
Social Worker (Clinical)
215 SW 7TH ST
REDMOND, OR 97756
Deschutes County (541) 388-8459
SARAH JANE PORTER
Student in an Organized Health Care Education/Training Program
215 SW 7TH ST
REDMOND, OR 97756
Deschutes County (541) 388-8459
LAUREN CARLSON CSWA
Counselor (Mental Health)
215 SW 7TH ST
REDMOND, OR 97756
Deschutes County (541) 388-8459
DR. ANTHONY BLAKE WALKER PH.D.
Counselor (Professional)
215 SW 7TH ST
REDMOND, OR 97756
Deschutes County (541) 388-8459

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 Denise Kimball's NPI number?

The NPI number for Denise Kimball is 1669084919. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Denise Kimball located?

Denise Kimball practices at 215 SW 7th St, Redmond, OR 97756. The listed phone number is (541) 388-8459.

What is Denise Kimball's specialty?

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

Is Denise Kimball enrolled in Medicare?

Yes. Denise Kimball 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 organization bills Medicare for Denise Kimball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Kimball reassigns Medicare benefits to Rimrock Trails Treatment Services (Prineville, OR). The 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 Denise Kimball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denise Kimball was last updated on July 30, 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.