DR. KIMBERLY ANN KERKSIEK PHD
NPI 1780967943
Marriage & Family Therapist in Lubbock, TX
About Dr. Kimberly Ann Kerksiek Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY ANN KERKSIEK PHD (NPI 1780967943) is an individual marriage & family therapist in Lubbock, Texas, licensed in Texas (201069) and active in the NPI registry since September 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)
Dr. Kimberly Ann Kerksiek Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Kerksiek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lubbock, TX 79430
- Reassigned Medicare billing, Texas enrollment
- 685 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.
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 Kerksiek's NPI number?
The NPI number for Kimberly Kerksiek is 1780967943. It was assigned to this individual provider in the NPPES registry on September 23, 2011.
Where is Kimberly Kerksiek located?
Kimberly Kerksiek practices at 7606 University Ave Suite B-3, Lubbock, TX 79423. The listed phone number is (806) 470-4506.
What is Kimberly Kerksiek's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kimberly Kerksiek enrolled in Medicare?
Yes. Kimberly Kerksiek is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Kerksiek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kerksiek reassigns Medicare benefits to Texas Tech University Health Sciences Center Lubbock (Lubbock, TX). 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 Kerksiek'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 Kerksiek was last updated on September 23, 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.
# Dr. Kimberly Ann Kerksiek, PHD · NPI 1780967943
Marriage & Family Therapist provider in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since September 23, 2011.
## Identity
- **NPI:** 1780967943 (Entity type: Individual)
- **Enumerated:** September 23, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 201069 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7606 UNIVERSITY AVE, SUITE B-3, Lubbock, TX 79423-2155
- **Phone:** (806) 470-4506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Texas Tech University Health Sciences Center Lubbock (NPI 1538239769, Lubbock, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1780967943) · Data from the CMS NPPES public registry.