DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S) – Mental Health Counselor, NPI 1013321090

DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S) is a healthcare provider. based in New caney, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PHD, LPA, LPC- S. They hold a License No. 39232 (TX). The NPI Number for DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S) is 1013321090

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S)
NPI
1013321090
Phone
(346) 471-5200
Address
11971 N GRAND PKWY E STE 200
Enumeration Date
17 June 2014
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7137730803
Graduation Year
2015 (11 years ago)
PAC ID
6507218013
Group Practice PAC ID
7214014208
Professional Enrollment ID
I20240120000244
Address ID
TX770365113HO7001XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S)

  • 11971 N GRAND PKWY E STE 200

    #207

    NEW CANEY, TX 773571827

    Phone: (346) 471-5200

    Fax: (346) 474-0990

    Type: Mailing

  • 7011 SOUTHWEST FWY

    HOUSTON, TX 770742007

    Phone: (713) 970-7000

    Fax: (713) 970-7246

    Type: Mailing

  • 2150 W 18TH ST

    HOUSTON, TX 770085200

    Phone: (713) 426-0027

    Type: Location

  • 7001 CORPORATE DR STE 120

    HOUSTON, TX 770365113

    Phone: (713) 773-0803

    Fax: (713) 271-5422

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-01-20

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
I20240120000244IMental Health CounselorTXTBD

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 77357)

Loading plans...

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: 7214014208View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineKY
Physician AssistantTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Internal MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeTX
Internal MedicineSC

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S)?
For DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S), use NPI 1013321090 as the unique 10-digit identifier.
Is DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S) still an active registrant?
DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S) carries an active NPI according to the public dataset.
What area of care is associated with DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S)?
DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S)?
Directory geography for DR. KIMM MARIE PEREZ (PHD, LPA, LPC- S) centers on New Caney, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

S. RON COVEY

Mental Health Counselor
PO BOX 1583
NPI: 1043266208

MATHEUS TOZZI

Mental Health Counselor
15167 WILLOW TREE LN
NPI: 1386130086

LUCENDA LAUKISHA HONORE (MSW)

Clinical Social Worker
3461, Northwest 34th Street, Lauderdale Lakes, Broward County, Florida, 33309, United States
NPI: 1063069045

ROY ANTHONY HOPKINS (LPC)

Mental Health Counselor
20290 PARK LAKE VIEW DR APT 4304
NPI: 1487296232

DIVERSE BEHAVIORAL HEALTH GROUP

Mental Health Counselor
2450 LOUISIANA ST # 225
NPI: 1861126005

BILALAH MOORE (LPC)

Mental Health Counselor
3422 BUSINESS CENTER DRIVE
NPI: 1043945843
16770 IMPERIAL VALLEY DR STE 151P
NPI: 1902534449

LU-CHEREE DE JAGER HURT (LPC)

Professional Counselor
18335 TIMBERMILL LN
NPI: 1477272342

SHARI GRACE JOBE (M.ED.)

Mental Health Counselor
23010 GABRIEL STE 205
NPI: 1841972510