KIMBERLY STUBBLEFIELD MA, LPCC
NPI 1972319341
Counselor - Mental Health in Blaine, MN

Q: What is Kimberly Stubblefield's NPI number?

The NPI number for Kimberly Stubblefield is 1972319341. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Q: What is Kimberly Stubblefield's specialty?

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

Active since December 10, 2024PECOS Enrolled

9298 CENTRAL AVE NE STE 310, BLAINE, MN 55434(651) 955-4633(651) 440-9827 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kimberly Stubblefield Ma, Lpcc NPPES

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

KIMBERLY STUBBLEFIELD MA, LPCC (NPI 1972319341) is an individual mental health provider in Blaine, Minnesota, licensed in Minnesota (CC04698) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972319341

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLY STUBBLEFIELDCredential: MA, LPCC

Location Address9298 CENTRAL AVE NE STE 310Blaine, MN 55434-4219

Mailing Address245 Ruth St N Ste 101Saint Paul, MN 55119-4409 · (651) 955-4633

Phone(651) 955-4633

Fax(651) 440-9827

Sole ProprietorNo

Enumeration DateDecember 10, 2024

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 21, 2025

✔ NPI 1972319341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · CC04698

9298 CENTRAL AVE NE STE 310, Blaine, MN 55434

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Stubblefield Ma, Lpcc 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 Stubblefield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Omni Mental Health Inc

Same address

Marriage & Family Therapist

9298 CENTRAL AVE NE STE 310
Blaine, MN 55434

Reassigned Medicare billing, Minnesota enrollment
20 clinicians in this Medicare group

NPI 1891110177 (651) 955-4633

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 9

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

KAO LEE VANG MA

Marriage & Family Therapist

9298 CENTRAL AVE NE STE 310
MINNEAPOLIS, MN 55434

Anoka County (651) 955-4633

ALEXANDRA ZICKERMANN MA, LPCC

Counselor (Mental Health)

9298 CENTRAL AVE NE STE 310
BLAINE, MN 55434

Anoka County (651) 955-4633

KELLIE C BERNAL DELGADO LICSW

Social Worker (Clinical)

9298 CENTRAL AVE NE STE 310
BLAINE, MN 55434

Anoka County (651) 955-4633

STEVEN J FREUND LMFT

Marriage & Family Therapist

9298 CENTRAL AVE NE STE 310
BLAINE, MN 55434

Anoka County (651) 955-4633

JOSEPH REED MA, LAMFT

Marriage & Family Therapist

9298 CENTRAL AVE NE STE 310
MINNEAPOLIS, MN 55434

Anoka County (651) 955-4633

AMANDA ROSE NUSBAUM GABBERT LPCC

Counselor (Professional)

9298 CENTRAL AVE NE STE 310
BLAINE, MN 55434

Anoka County (651) 955-4633

KAT CHRISTINE LUDWIG LMFT

Marriage & Family Therapist

9298 CENTRAL AVE NE STE 310
BLAINE, MN 55434

Anoka County (651) 955-4633

OMNI MENTAL HEALTH INC

Marriage & Family Therapist

9298 CENTRAL AVE NE STE 310
BLAINE, MN 55434

Anoka County (651) 955-4633

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 Stubblefield's NPI number?

The NPI number for Kimberly Stubblefield is 1972319341. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Where is Kimberly Stubblefield located?

Kimberly Stubblefield practices at 9298 Central Ave NE Ste 310, Blaine, MN 55434. The listed phone number is (651) 955-4633.

What is Kimberly Stubblefield's specialty?

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

Is Kimberly Stubblefield enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Stubblefield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stubblefield reassigns Medicare benefits to Omni Mental Health Inc (Blaine, MN). 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 Stubblefield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Stubblefield was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.