MS. KIMBERLY W MODISETTE LPC NPI 1841528114

NPI Information

NPI: 1841528114
Provider Name: MS. KIMBERLY W MODISETTE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
120 DAVID WADE DRIVE
VICTORIA, TX
ZIP 77905
Phone: (361) 575-8271
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MS. Kimberly W Modisette, LPC is a professional counselor in Victoria, TX. MS. Kimberly W Modisette, LPC NPI is 1841528114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 DAVID WADE DRIVE
VICTORIA, TX
ZIP 77905
Phone: (361) 575-8271
Fax: (361) 575-6520

The enumeration date for this NPI number is 11/25/2009 and was last updated on 2/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	65881	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	207574901	MEDICAID	TEXAS
2	65881	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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