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KIMBERLY A ELLIOTT LPCC
NPI 1770098311
Counselor - Professional in Flagstaff, AZ

Active since December 05, 2017PECOS Enrolled
PO BOX 3742, FLAGSTAFF, AZ 86003(928) 707-9030 Get Directions Write a Review

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

Record update history: Apr 16, 2026, Jan 5, 2026, Jan 5, 2025 and 3 more (6 updates tracked since 2017).

About Kimberly A Elliott Lpcc NPPES

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

KIMBERLY A ELLIOTT LPCC (NPI 1770098311) is an individual professional provider in Flagstaff, Arizona, licensed in Arizona (19698) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1770098311
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY A ELLIOTTCredential: LPCC
Location AddressPO BOX 3742Flagstaff, AZ 86003-3742
Mailing AddressPo Box 3742Flagstaff, AZ 86003-3742 · (740) 837-0246
Phone(928) 707-9030
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 5, 2017
Last NPPES UpdateApril 16, 20266 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1770098311 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 AZ · 19698✔ Licensed in OH · C.100336✔ Licensed in CO · 0017742✔ Licensed in NM · CTB-2023-0220
PO BOX 3742, Flagstaff, AZ 86003
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A Elliott Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749717031
PECOS Enrollment IDI20260205004409
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 Reassignments

3

Medicare enrollment records show Kimberly Elliott reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Behavioral Care Of Colorado, P.C.
5.6 mi
Clinical
914 N SAN FRANCISCO ST
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Colorado PC
  • 24 clinicians in this Medicare group
NPI 1932979366 (704) 506-6267
Mcleod Medical Centers Of Nm, Inc.
298 mi
Family Medicine
12127B HWY 14 N STE 5
Cedar Crest, NM 87008
  • Reassigned Medicare billing, New Mexico enrollment
  • 54 clinicians in this Medicare group
NPI 1700393782 (505) 281-5180
Minuteclinic LLC
1,909 mi
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Arizona enrollment
  • 163 clinicians in this Medicare group
NPI 1134191836 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elliott's NPI number?

The NPI number for Kimberly Elliott is 1770098311. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Kimberly Elliott located?

Kimberly Elliott practices at PO Box 3742, Flagstaff, AZ 86003. The listed phone number is (928) 707-9030.

What is Kimberly Elliott's specialty?

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

Is Kimberly Elliott enrolled in Medicare?

Yes. Kimberly Elliott is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Elliott reassigns Medicare benefits to 3 organizations: Optum Behavioral Care Of Colorado, P.C. (Flagstaff, AZ), Mcleod Medical Centers Of Nm, Inc. (Cedar Crest, NM) and Minuteclinic LLC (Rockville, MD). Each 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 Elliott'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 Elliott was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.