MS. KIMESHA L EMBRY LPC
NPI 1679081657
Counselor - Professional in Independence, MO

Q: What is Kimesha Embry's NPI number?

The NPI number for Kimesha Embry is 1679081657. It was assigned to this individual provider in the NPPES registry on January 12, 2018. The provider is also known as Kimesha L Herndon.

Q: What is Kimesha Embry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimesha Embry was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 12, 2018PECOS Enrolled

17844 E 23RD ST S, INDEPENDENCE, MO 64057(816) 254-3652 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2025, Apr 10, 2024, Jan 12, 2018 (3 updates tracked since 2018).

On this page

About Ms. Kimesha L Embry Lpc NPPES

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

MS. KIMESHA L EMBRY LPC (NPI 1679081657) is an individual professional provider in Independence, Missouri, licensed in Missouri (2017044740) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679081657

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. KIMESHA L EMBRYCredential: LPC

Location Address17844 E 23RD ST SIndependence, MO 64057-1840

Mailing Address2885 W Battlefield St # 747521Springfield, MO 65807-3952 · (417) 761-5214

Phone(816) 254-3652

Sole ProprietorNo

Enumeration DateJanuary 12, 2018

Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration

NPPES CertifiedMarch 14, 2025

✔ NPI 1679081657 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 MO · 2017044740

17844 E 23RD ST S, Independence, MO 64057

Open in Google Maps ↗

Other Names 1

Former Name (1)Kimesha L Herndon

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimesha L Embry Lpc 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.

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.

HEATHER M HAYES MSW, LCSW

Social Worker (Clinical)