KIMBERLY KHADOO-BAYNHAM (LPCC-S) – Professional Counselor, NPI 1902235575
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIMBERLY KHADOO-BAYNHAM (LPCC-S)
201 MECHANIC ST
LEXINGTON, KY 405071086
Phone: (859) 271-9448
Fax: (270) 858-4029
Type: Location
107 CRANES ROOST CT
ELIZABETHTOWN, KY 427013650
Phone: (270) 765-2605
Fax: (270) 234-8572
Type: Mailing
1072 S DIXIE BLVD
RADCLIFF, KY 401601103
Phone: (270) 351-8166
Fax: (270) 351-8322
Type: Location
100 AZALEA PARK TRL APT 8
RADCLIFF, KY 401603900
Phone: (270) 272-2046
Type: Mailing
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: 2024-06-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240605000856 | I | Mental Health Counselor | KY | TBD |
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.
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 40507)
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