MS. KIMBERLY SCHMIDT BEVANS MA
NPI 1053558395
Counselor - Mental Health in Dedham, MA

NPI Status: Active since January 08, 2009

Contact Information

135 COLBURN ST
DEDHAM, MA
ZIP 02026
Phone: (617) 651-0996

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About KIMBERLY BEVANS

This page provides the complete NPI Profile along with additional information for Kimberly Bevans, a provider established in Dedham, Massachusetts with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1053558395 assigned on January 2009. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1053558395
Provider Name
MS. KIMBERLY SCHMIDT BEVANS MA
Gender
Female
Entity Type
Individual
Location Address
135 COLBURN ST DEDHAM, MA 02026
Location Phone
(617) 651-0996
Mailing Address
120 NORTH AVE APT 3 ABINGTON, MA 02351
Mailing Phone
(508) 580-4691
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
01-08-2009
Last Update Date
11-03-2021
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A mental health counselor like Kimberly Bevans provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberly Bevans opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2024

  • Opt-Out End Date: 01-01-2026

  • Eligible to Order and Refer? No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053558395
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010310516318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 0 + 5 + 1 + 6 + 3 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1053558395 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053558395, enumerated in the NPI registry as an "individual" on January 08, 2009

The provider is located at 135 Colburn St Dedham, Ma 02026 and the phone number is (617) 651-0996

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.

This NPI record was last updated on January 08, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.