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MS. KIMBERLY RENEE' FORD LCMHC, LPC, LCAS-A
NPI 1881010635
Counselor - Mental Health in Winston Salem, NC

Active since March 17, 2014PECOS Enrolled
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 718-3550(336) 277-1825 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Renee' Ford Lcmhc, Lpc, Lcas-a NPPES

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

MS. KIMBERLY RENEE' FORD LCMHC, LPC, LCAS-A (NPI 1881010635) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (9273) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1881010635
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KIMBERLY RENEE' FORDCredential: LCMHC, LPC, LCAS-A
Location Address175 KIMEL PARK DR STE 100Winston Salem, NC 27103-6951
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 718-3550
Fax(336) 277-1825
Sole ProprietorNo
Enumeration DateMarch 17, 2014
Last NPPES UpdateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1881010635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 9273
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 3547 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 9273 (NC)
175 KIMEL PARK DR STE 100, Winston Salem, NC 27103
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Secondary Practice Location 1

Location 13818 N Elm St Ste EGreensboro, NC 27455-2778 · Phone (336) 545-5995 · Fax (336) 545-5996

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Renee' Ford Lcmhc, Lpc, Lcas-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MS. MINDY PARIS FRANCE NCC, LPC
Counselor (Professional)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1800
ERIN TAGGE
Counselor (Mental Health)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
TRESSA ANITA CORBETT LCSW, LCAS
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
MRS. MIKALA JONES DILLARD PMHNP-BC
Nurse Practitioner
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
KATHRYN MICHELLE MURRAY LCSW
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
ALISON BRIDGES RUSSO LCSW
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
COREY LANE GOSNELL PA-C
Physician Assistant
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
BRIAN ANDREW FARAH M.D.
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550

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 Ford's NPI number?

The NPI number for Kimberly Ford is 1881010635. It was assigned to this individual provider in the NPPES registry on March 17, 2014.

Where is Kimberly Ford located?

Kimberly Ford practices at 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 718-3550.

What is Kimberly Ford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Ford enrolled in Medicare?

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

What insurance does Kimberly Ford accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Kimberly Ford 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 Ford was last updated on April 19, 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.