KIMBERLY E MICKELSON LPC NPI 1487768594

NPI Information

  • NPI: 1487768594
  • Provider Name: KIMBERLY E MICKELSON, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2303 RAUN LN
    EL CAMPO, TX
    ZIP 77437
  • Phone: (979) 541-3375

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NPI Details

Kimberly E Mickelson, LPC is a mental health counselor in El Campo, TX. Kimberly E Mickelson, LPC NPI is 1487768594. 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:

2303 RAUN LN
EL CAMPO, TX
ZIP 77437-127
Phone: (979) 541-3375

The enumeration date for this NPI number is 8/18/2006 and was last updated on 5/5/2008.

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
1101YM0800XCounselorMental Health17777TEXASYes

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
1164430403OTHERTEXASDOMHA MCD
2164430402MEDICAIDTEXAS
3164430404OTHERTEXASDOCS MCD

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: 3/30/2025

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