MS. KIMBERLY W MODISETTE LPC
NPI 1841528114
Counselor - Professional in Victoria, TX

Active since November 25, 2009
120 DAVID WADE DRIVE, VICTORIA, TX 77905(361) 575-8271(361) 575-6520 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kimberly W Modisette Lpc NPPES

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

MS. KIMBERLY W MODISETTE LPC (NPI 1841528114) is an individual professional provider in Victoria, Texas, licensed in Texas (65881) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1841528114
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KIMBERLY W MODISETTECredential: LPC
Location Address120 DAVID WADE DRIVEVictoria, TX 77905
Mailing AddressP.o. Box 2666Victoria, TX 77902-2666 · (361) 575-8271 · Fax (361) 575-6520
Fax(361) 575-6520
Sole ProprietorYes
Enumeration DateNovember 25, 2009
Last NPPES UpdateFebruary 19, 2010
NPI 1841528114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 65881
120 DAVID WADE DRIVE, Victoria, TX 77905

Other Identifiers 2

Medicaid207574901TX
Medicaid65881TX

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
120 DAVID WADE DRIVE
VICTORIA, TX 77905
Social Worker (Clinical)
120 DAVID WADE DRIVE
VICTORIA, TX 77905
Counselor (Mental Health)
120 DAVID WADE DRIVE
VICTORIA, TX 77905
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
120 DAVID WADE DRIVE
VICTORIA, TX 77905

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 Modisette's NPI number?

The NPI number for Kimberly Modisette is 1841528114. It was assigned to this individual provider in the NPPES registry on November 25, 2009.

Where is Kimberly Modisette located?

Kimberly Modisette practices at 120 David Wade Drive, Victoria, TX 77905. The listed phone number is (361) 575-8271.

What is Kimberly Modisette's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Modisette was last updated on February 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.