KIMBERLY OVERLIE (MSED, LPC) – Professional Counselor, NPI 1730365826

KIMBERLY OVERLIE (MSED, LPC) is a healthcare provider. based in Duluth, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials MSED, LPC. They hold a License No. 00533 (MN). The NPI Number for KIMBERLY OVERLIE (MSED, LPC) is 1730365826

Main info

Female
9 Years Of Experience
Name
KIMBERLY OVERLIE (MSED, LPC)
NPI
1730365826
Phone
(218) 722-4379
Address
332 W SUPERIOR ST
Enumeration Date
18 January 2008
Last Update Date
18 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184640908
Graduation Year
2017 (9 years ago)
PAC ID
3577816495
Group Practice PAC ID
1951658152
Professional Enrollment ID
I20200409000357
Address ID
MN558112979HE4135XAVEX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for KIMBERLY OVERLIE (MSED, LPC)

  • 332, West Superior Street, Duluth, Saint Louis County, Minnesota, 55802, United States

    SUITE 300

    DULUTH, MN 558021808

    Phone: (218) 722-4379

    Mailing address matches the actual address.

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: 2020-04-09

PECOS data refreshed: 2026-05-27

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
I20200409000357IClinical PsychologistMNTBD

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 55802)

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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: 1951658152View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
-MN

Reviews

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Frequently asked questions

How do payers reference KIMBERLY OVERLIE (MSED, LPC)?
For KIMBERLY OVERLIE (MSED, LPC), use NPI 1730365826 as the unique 10-digit identifier.
Is KIMBERLY OVERLIE (MSED, LPC) shown as active in public data?
Registry records indicate KIMBERLY OVERLIE (MSED, LPC) maintains an active NPI.
What area of care is associated with KIMBERLY OVERLIE (MSED, LPC)?
KIMBERLY OVERLIE (MSED, LPC)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with KIMBERLY OVERLIE (MSED, LPC)?
Directory geography for KIMBERLY OVERLIE (MSED, LPC) centers on Duluth, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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