KIMBERLY S. CONNER (LPCC) – Professional Counselor, NPI 1790931582

KIMBERLY S. CONNER (LPCC) is a healthcare provider. based in Ashland, Kentucky. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. 103921 (KY). The NPI Number for KIMBERLY S. CONNER (LPCC) is 1790931582

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY S. CONNER (LPCC)
NPI
1790931582
Phone
(606) 329-8588
Address
PO BOX 790
Enumeration Date
12 August 2008
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8594982135
Graduation Year
2011 (15 years ago)
PAC ID
2466805411
Group Practice PAC ID
1254239171
Professional Enrollment ID
I20240126000666
Address ID
KY403539769MO300XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

876 MENTAL HEALTH COUNSELOR in KY

Provider Addresses for KIMBERLY S. CONNER (LPCC)

  • PO BOX 790

    ASHLAND, KY 411050790

    Phone: (606) 329-8588

    Fax: (606) 329-8195

    Type: Mailing

  • 300 FOXGLOVE DR

    MT STERLING, KY 403539769

    Phone: (859) 498-2135

    Fax: (859) 498-7547

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240126000666IMental Health CounselorKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254239171View full group profile
NameSpecialtyState
-KY
Nurse PractitionerKY
Mental Health CounselorKY
Clinical Social WorkerKY
Mental Health CounselorKY
Mental Health CounselorKY
Clinical Social WorkerKY
Mental Health CounselorKY
Mental Health CounselorKY
Mental Health CounselorKY

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY S. CONNER (LPCC)?
NPI 1790931582 is assigned to KIMBERLY S. CONNER (LPCC) under the national enumeration system.
Is KIMBERLY S. CONNER (LPCC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KIMBERLY S. CONNER (LPCC)?
The page reflects Professional Counselor for KIMBERLY S. CONNER (LPCC). Clinical services aligned with this taxonomy classification.
Where is KIMBERLY S. CONNER (LPCC)'s primary listing?
We display Ashland, Kentucky because that is what the record indicates for KIMBERLY S. CONNER (LPCC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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