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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY FOWLER LCSW
NPI 1831245166
Social Worker - Clinical in Jackson, TN

Active since January 27, 2007PECOS EnrolledAccepts Medicare Assignment
170 SMITHFIELD DR, JACKSON, TN 38305(731) 300-1117 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2026, May 21, 2021, Dec 30, 2020 and 1 more (4 updates tracked since 2016).

About Kimberly Fowler Lcsw NPPES

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

KIMBERLY FOWLER LCSW (NPI 1831245166) is an individual clinical provider in Jackson, Tennessee, licensed in Tennessee (6216) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1831245166
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY FOWLERCredential: LCSW
Location Address170 SMITHFIELD DRJackson, TN 38305-1817
Mailing Address1000 Urban Center Dr Ste 600Vestavia, AL 35242-2584 · (205) 208-9312
Phone(731) 300-1117
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 27, 2007
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1831245166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 6216
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
170 SMITHFIELD DR, Jackson, TN 38305
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Other Names 1

Former Name (1)Kimberly Graham

Secondary Practice Locations 5

Location 1104 Cude Ln Ste 168Madison, TN 37115-2202 · Phone (615) 868-9959
Location 2118 Glass StJackson, TN 38301-4625 · Phone (731) 394-1145
Location 3801 Hill St Ste BSpringfield, TN 37172-2951 · Phone (615) 382-3002
Location 41101 Fox Meadows Blvd Ste 105Sevierville, TN 37862-6937 · Phone (865) 280-2700
Location 51804 Highway 45 BypJackson, TN 38305-4436 · Phone (731) 935-8200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

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

Kimberly Fowler Lcsw 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 ID3476803461
PECOS Enrollment IDI20180912003741
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 Fowler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Impact Behavioral Counseling LLC
1.8 mi
Addiction (Substance Use Disorder)
37 SANDSTONE CIR STE 92B
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 14 clinicians in this Medicare group
NPI 1386169050 (731) 265-6025
Ultra Health LLC
119 mi
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Tennessee enrollment
  • 44 clinicians in this Medicare group
NPI 1922469543 (731) 394-1145
Ultra Health Providers II LLC
119 mi
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Tennessee enrollment
  • 45 clinicians in this Medicare group
NPI 1033956057 (731) 394-1145

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALM PLACE
Social Worker (Clinical)
170 SMITHFIELD DR
JACKSON, TN 38305
Madison County (731) 300-1117

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 Fowler's NPI number?

The NPI number for Kimberly Fowler is 1831245166. It was assigned to this individual provider in the NPPES registry on January 27, 2007. The provider is also known as Kimberly Graham.

Where is Kimberly Fowler located?

Kimberly Fowler practices at 170 Smithfield Dr, Jackson, TN 38305. The listed phone number is (731) 300-1117.

What is Kimberly Fowler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kimberly Fowler enrolled in Medicare?

Yes. Kimberly Fowler 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 organizations bill Medicare for Kimberly Fowler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fowler reassigns Medicare benefits to 3 organizations: Impact Behavioral Counseling LLC (Jackson, TN), Ultra Health LLC (Nashville, TN) and Ultra Health Providers II LLC (Nashville, TN). 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 Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Fowler accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Kimberly Fowler 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 Kimberly Fowler was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.