1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Counselor
  6. NPI Profile

KIM BEVERLY MS, LCPC
NPI 1710457551
Counselor - Professional in Baltimore, MD

Active since December 04, 2018PECOS EnrolledAccepts Medicare Assignment
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218(443) 438-6742(443) 773-5624 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2023, Dec 4, 2018 (2 updates tracked since 2018).

About Kim Beverly Ms, Lcpc NPPES

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

KIM BEVERLY MS, LCPC (NPI 1710457551) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC11126) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bowie, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710457551
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIM BEVERLYCredential: MS, LCPC
Location Address1900 N HOWARD ST STE 300Baltimore, MD 21218-5909
Mailing Address1900 N Howard St Ste 300Baltimore, MD 21218-5909 · (443) 438-6742 · Fax (443) 773-5624
Phone(443) 438-6742
Fax(443) 773-5624
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 4, 2018
Last NPPES UpdateFebruary 16, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2024
✔ NPI 1710457551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MD · LC11126✔ Licensed in MD · LGP8962
1900 N HOWARD ST STE 300, Baltimore, MD 21218
Open in Google Maps ↗

Other Names 1

Former Name (1)Kim Beverly-muhammad

Secondary Practice Location 1

Location 116701 Melford Blvd Ste 400Bowie, MD 20715-4411 · Phone (415) 424-4266 · Fax (415) 520-6633

Other Identifiers 1

Medicaid38-3876389MD

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

Kim Beverly Ms, Lcpc 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 ID42657652
PECOS Enrollment IDI20240319001119
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 Kim Beverly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
4.7 mi
Health Maintenance Organization
1701 TWIN SPRINGS RD
Halethorpe, MD 21227
  • Reassigned Medicare billing, Maryland enrollment
  • 1,253 clinicians in this Medicare group
NPI 1417294984 (410) 737-5000

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.

MORIAH EZRA COLEMAN LMSW
Social Worker
1900 N HOWARD ST STE 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742
SHAKEISHA S ALEXANDER LMSW
Social Worker
1900 N HOWARD ST STE 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742
LAKEITHA DANIELLE CABBAGESTALK
Social Worker
1900 N HOWARD ST STE 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742
WINTERFORD A MENSAH LMSW
Social Worker
1900 N HOWARD ST STE 300
BALTIMORE, MD 21218
Baltimore City (443) 300-8400
GAVIN TIMOTHY MCTAVISH
Social Worker
1900 N HOWARD ST STE 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742
ANDREW WON
Counselor (Professional)
1900 N HOWARD ST STE 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742
IJEE AMANI RAGIN LGPC
Counselor (Mental Health)
1900 N HOWARD ST STE 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742
MELODY CONCAS LMSW
Social Worker (Clinical)
1900 N HOWARD ST STE 300
BALTIMORE, MD 21218
Baltimore City (954) 496-5320

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 Kim Beverly's NPI number?

The NPI number for Kim Beverly is 1710457551. It was assigned to this individual provider in the NPPES registry on December 4, 2018. The provider is also known as Kim Beverly-Muhammad.

Where is Kim Beverly located?

Kim Beverly practices at 1900 N Howard St Ste 300, Baltimore, MD 21218. The listed phone number is (443) 438-6742.

What is Kim Beverly's specialty?

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

Is Kim Beverly enrolled in Medicare?

Yes. Kim Beverly 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 Kim Beverly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Beverly reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Halethorpe, MD). 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 Kim Beverly'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 Kim Beverly was last updated on February 16, 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.