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

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: October 18, 2026.

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

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
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

Other Names 1

Former Name (1)Kimesha L Herndon

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Critical Access
1700 RAINBOW BLVD
Excelsior Springs, MO 64024
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1285733923 (Missouri)
  • 120 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.

Social Worker (Clinical)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Counselor (Mental Health)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Social Worker (Clinical)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Counselor (Professional)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Nurse Practitioner (Psychiatric/Mental Health)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Counselor (Professional)
17844 E 23RD ST S
INDEPENDENCE, MO 64057
Counselor (Professional)
17844 E 23RD ST S
INDEPENDENCE, MO 64057

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 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.

Where is Kimesha Embry located?

Kimesha Embry practices at 17844 E 23rd St S, Independence, MO 64057. The listed phone number is (816) 254-3652.

What is Kimesha Embry's specialty?

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

Is Kimesha Embry enrolled in Medicare?

Yes. Kimesha Embry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimesha Embry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimesha Embry reassigns Medicare benefits to Excelsior Springs City Hospital (Excelsior Springs, MO). 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 Kimesha Embry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimesha Embry accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Kimesha Embry 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 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 19 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.