MISS KIMBERLY ANN DOUGLAS LPC
NPI 1932406659
Counselor - Mental Health in Detroit, MI
About Miss Kimberly Ann Douglas Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KIMBERLY ANN DOUGLAS LPC (NPI 1932406659) is an individual mental health provider in Detroit, Michigan and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 4
Accepted 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
Miss Kimberly Ann Douglas Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton Twp, MI 48036
- Reassigned Medicare billing, Michigan enrollment
- 120 clinicians in this Medicare group
Sterling Heights, MI 48312
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Training & Treatment Innovations Inc
- 46 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.
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.
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 Douglas's NPI number?
The NPI number for Kimberly Douglas is 1932406659. It was assigned to this individual provider in the NPPES registry on February 15, 2011.
Where is Kimberly Douglas located?
Kimberly Douglas practices at 707 W Milwaukee St, Detroit, MI 48202. The listed phone number is (313) 833-2500.
What is Kimberly Douglas's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Douglas enrolled in Medicare?
Yes. Kimberly Douglas 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 Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Douglas reassigns Medicare benefits to 2 organizations: County Of Macomb (Clinton Twp, MI) and Training And Treatment Innovations Inc (Sterling Heights, MI). 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 Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Douglas accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Kimberly Douglas 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 Douglas was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Miss Kimberly Ann Douglas, LPC · NPI 1932406659
Mental Health provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since February 15, 2011.
## Identity
- **NPI:** 1932406659 (Entity type: Individual)
- **Enumerated:** February 15, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 707 W MILWAUKEE ST, Detroit, MI 48202-2943
- **Phone:** (313) 833-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Macomb (NPI 1942532197, Clinton Twp, MI); Training And Treatment Innovations Inc (NPI 1295084721, Sterling Heights, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** October 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1932406659) · Data from the CMS NPPES public registry.