KIMBERLY JAN PRICE
NPI 1689953853
Counselor - Mental Health in Durant, OK
About Kimberly Jan Price NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY JAN PRICE (NPI 1689953853) is an individual mental health provider in Durant, Oklahoma and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Jan Price is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Price reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Antlers, OK 74523
- Reassigned Medicare billing, Oklahoma enrollment
- 8 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.
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 Price's NPI number?
The NPI number for Kimberly Price is 1689953853. It was assigned to this individual provider in the NPPES registry on August 5, 2011.
Where is Kimberly Price located?
Kimberly Price practices at 1604 N Washington Ave, Durant, OK 74701. The listed phone number is (580) 920-0909.
What is Kimberly Price's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Price enrolled in Medicare?
Yes. Kimberly Price is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Price's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Price reassigns Medicare benefits to Crossroads 1010 LLC (Antlers, OK). 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 Kimberly Price'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 Kimberly Price was last updated on August 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kimberly Jan Price · NPI 1689953853
Mental Health provider in Durant, Oklahoma. Individual provider, active in the CMS NPPES registry since August 5, 2011.
## Identity
- **NPI:** 1689953853 (Entity type: Individual)
- **Enumerated:** August 5, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1604 N WASHINGTON AVE, Durant, OK 74701-2128
- **Phone:** (580) 920-0909
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Crossroads 1010 LLC (NPI 1174072482, Antlers, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1689953853) · Data from the CMS NPPES public registry.