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CAROL SUE KIMBRO LPC
NPI 1972806149
Counselor - Mental Health in Tishomingo, OK

Active since December 09, 2010PECOS EnrolledAccepts Medicare Assignment
504 E 24TH ST, TISHOMINGO, OK 73460(580) 371-9933(580) 371-9944 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Sue Kimbro Lpc NPPES

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

CAROL SUE KIMBRO LPC (NPI 1972806149) is an individual mental health provider in Tishomingo, Oklahoma, licensed in Oklahoma (3839) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1972806149
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROL SUE KIMBROCredential: LPC
Location Address504 E 24TH STTishomingo, OK 73460-3214
Mailing Address504 E 24th StTishomingo, OK 73460-3214 · (580) 371-9933 · Fax (580) 371-9944
Phone(580) 371-9933
Fax(580) 371-9944
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 9, 2010
✔ NPI 1972806149 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 OK · 3839
504 E 24TH ST, Tishomingo, OK 73460
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol Sue Kimbro 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.

PECOS PAC ID1355790445
PECOS Enrollment IDI20231214002661
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
60 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

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.

MRS. JIM ANN REYNOLDS LPC
Counselor
504 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-9933
MS. KELLY LYNN PALMER
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (903) 815-0843
MRS. ROBERTA NICOLE PRATT
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (903) 815-0843
MRS. NINA CHAPPELL RN
Registered Nurse
504 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-9933
MR. TOM CHRISTOPHER HAYES
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (903) 815-0843
MALYNDA COBB
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-8210
AMY LEIGH LOCKWOOD
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-9933
MR. ROBERT CRAIG CLABORN
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 564-2384

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 Carol Kimbro's NPI number?

The NPI number for Carol Kimbro is 1972806149. It was assigned to this individual provider in the NPPES registry on December 9, 2010.

Where is Carol Kimbro located?

Carol Kimbro practices at 504 E 24th St, Tishomingo, OK 73460. The listed phone number is (580) 371-9933.

What is Carol Kimbro's specialty?

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

Is Carol Kimbro enrolled in Medicare?

Yes. Carol Kimbro 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.

What insurance does Carol Kimbro accept?

Health plans from Medica list Carol Kimbro 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.

Is Carol Kimbro affiliated with any hospitals?

According to CMS data, Carol Kimbro is affiliated with Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Kimbro was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.