MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) – Counselor, NPI 1518020833

MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) is a healthcare provider. based in Kettering, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MSED PCC CCDCI. They hold a License No. E0004145 (OH). The NPI Number for MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) is 1518020833

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY KAE HYATT (MSED PCC CCDCI)
NPI
1518020833
Phone
(937) 938-7242
Address
500 LINCOLN PARK BLVD STE 108
Enumeration Date
18 December 2006
Last Update Date
29 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
5890841142
Professional Enrollment ID
I20250207001365
Address ID
OH454594273Da7061XWAYX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for MS. KIMBERLY KAE HYATT (MSED PCC CCDCI)

  • Lincoln Park Boulevard, Pasadena, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454293492

    Phone: (937) 938-7242

    Fax: (937) 938-7355

    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: 2025-02-07

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
I20250207001365IMental Health CounselorOHTBD

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 45429)

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Reviews

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Frequently asked questions

What federal number belongs to MS. KIMBERLY KAE HYATT (MSED PCC CCDCI)?
The federal identifier for MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) is NPI 1518020833.
Does this profile mean MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) is currently active?
Yes — MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) appears active in the national provider directory.
What does MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) treat or focus on?
Patients typically see MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) under the specialty Counselor. Clinical services aligned with this taxonomy classification.
Does MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) practice in Ohio?
You will see Kettering, Ohio on file for MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) alongside any extra practice locations.
Is MS. KIMBERLY KAE HYATT (MSED PCC CCDCI) a real provider?
This page reflects official NPPES data for NPI 1518020833. Always confirm identity and privileges with the practice and licensing boards.

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