DR. KIMBERLY SUE STARK PH.D.
NPI 1972289270
Psychologist in Warrensburg, MO

Active since June 22, 2023PECOS Enrolled
321 W YOUNG AVE STE A, WARRENSBURG, MO 64093(816) 308-0246(816) 566-0486 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2023, Jun 22, 2023 (2 updates tracked since 2023).

About Dr. Kimberly Sue Stark Ph.d. NPPES

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

DR. KIMBERLY SUE STARK PH.D. (NPI 1972289270) is an individual psychologist in Warrensburg, Missouri, licensed in Missouri (1999140545) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972289270
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIMBERLY SUE STARKCredential: PH.D.
Location Address321 W YOUNG AVE STE AWarrensburg, MO 64093-1111
Mailing Address441 Nw W HwyKingsville, MO 64061-9117 · (816) 308-0246 · Fax (816) 566-0486
Fax(816) 566-0486
Sole ProprietorNo
Enumeration DateJune 22, 2023
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1972289270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MO · 1999140545
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 1999140545 (MO)
321 W YOUNG AVE STE A, Warrensburg, MO 64093

Accepted Insurance

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 Sue Stark Ph.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counselor
441 NW HWY W
Kingsville, MO 64061
  • Reassigned Medicare billing, Missouri enrollment
  • 26 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 6

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

Marriage & Family Therapist
321 W YOUNG AVE STE A
WARRENSBURG, MO 64093
Counselor (Mental Health)
321 W YOUNG AVE STE A
WARRENSBURG, MO 64093
Social Worker (Clinical)
321 W YOUNG AVE STE A
WARRENSBURG, MO 64093
Marriage & Family Therapist
321 W YOUNG AVE STE A
WARRENSBURG, MO 64093
Counselor
321 W YOUNG AVE STE A
WARRENSBURG, MO 64093
Counselor (Professional)
321 W YOUNG AVE STE A
WARRENSBURG, MO 64093

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 Stark's NPI number?

The NPI number for Kimberly Stark is 1972289270. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Kimberly Stark located?

Kimberly Stark practices at 321 W Young Ave Ste A, Warrensburg, MO 64093. The listed phone number is (816) 308-0246.

What is Kimberly Stark's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kimberly Stark enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stark reassigns Medicare benefits to Country Crossroads Counseling LLC (Kingsville, MO). 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 Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Stark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Kimberly Stark 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 Stark was last updated on December 8, 2023. 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.