KIMBERLY WOODHOUSE (LPC) – Mental Health Counselor, NPI 1114427267

KIMBERLY WOODHOUSE (LPC) is a healthcare provider. based in Choctaw, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. The NPI Number for KIMBERLY WOODHOUSE (LPC) is 1114427267

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY WOODHOUSE (LPC)
NPI
1114427267
Phone
(405) 741-2844
Address
14453 SE 29TH ST STE D
Enumeration Date
15 February 2018
Last Update Date
19 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057412844
Graduation Year
2016 (10 years ago)
PAC ID
2062860059
Group Practice PAC ID
1153779145
Professional Enrollment ID
I20240220000201
Address ID
OK730206543CH14453STXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

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Provider Addresses for KIMBERLY WOODHOUSE (LPC)

  • 14453, Southeast 29th Street, Woods, Choctaw, Oklahoma County, Oklahoma, 73020, United States

    CHOCTAW, OK 730206543

    Phone: (405) 741-2844

    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: 2024-02-20

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
I20240220000201IMental Health CounselorOKTBD

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 73020)

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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: 1153779145View full group profile
NameSpecialtyState
Mental Health CounselorOK
Clinical PsychologistOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

Can I use this page to confirm KIMBERLY WOODHOUSE (LPC)'s NPI?
Yes. KIMBERLY WOODHOUSE (LPC) is listed with NPI 1114427267 in the public NPI dataset.
Does CMS list KIMBERLY WOODHOUSE (LPC) as active?
Yes — KIMBERLY WOODHOUSE (LPC) is active in the NPI listing used on this page.
What healthcare role does KIMBERLY WOODHOUSE (LPC) hold?
Scheduling teams often label KIMBERLY WOODHOUSE (LPC) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLY WOODHOUSE (LPC)?
KIMBERLY WOODHOUSE (LPC)'s geographic hint is Choctaw, Oklahoma in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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