Kimberly Ruth Taylor, LPC in Detroit, MI - Medicare Counselor Provider

Kimberly Ruth Taylor, LPC is a medicare enrolled "Counselor - Professional" provider in Detroit, Michigan. Her current practice location is 4880 Lawndale St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 846-6030.

Kimberly Ruth Taylor is licensed to practice in Michigan (license number 6401011150) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528346707.

Contact Information

	Kimberly Ruth Taylor, LPC
	4880 Lawndale St, Detroit, MI 48210-2010
	(313) 846-6030
	(313) 846-7718

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ruth Taylor
Gender	Female
Speciality	Counselor - Professional
Location	4880 Lawndale St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528346707
Provider Enumeration Date: 07/22/2011
Last Update Date: 02/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9537414081
Enrollment ID: I20240123001603

Medical Identifiers

Medical identifiers for Kimberly Ruth Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528346707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401011150 (Michigan)	Primary
101Y00000X	Counselor	6401011150 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YS0200X	Counselor - School	IF0000000185872 (Michigan)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Ruth Taylor allows following entities to bill medicare on her behalf.

Entity Name	American Indian Health And Family Services Of Southeastern Mi Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366552804 PECOS PAC ID: 4587631429 Enrollment ID: O20040910001248

Entity Name	Mccd Fl Psychiatry Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230321001953

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Ruth Taylor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Ruth Taylor, LPC 20066 Midway Ave, Southfield, MI 48075-3813 Ph: (248) 943-5196	Kimberly Ruth Taylor, LPC 4880 Lawndale St, Detroit, MI 48210-2010 Ph: (313) 846-6030

Reviews and Comments

Counselor in Detroit, MI

Anthony Jerome Allen, AAS., CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 12010 Linwood St, Detroit, MI 48206 Phone: 313-867-1090 Fax: 313-867-0706
Mr. Brian R Cogliati, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1852 W Grand Blvd, 1852 W. Grand Blvd, Detroit, MI 48208 Phone: 313-894-8444 Fax: 313-894-5542
Mr. Gregory Charles Guice, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Taylor Ave., Detroit, MI 48202 Phone: 313-874-8715
Ms. Carol Potter, MA, BCBA, LBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Hunt St, Detroit, MI 48207 Phone: 248-537-2516
Mrs. Lisa Polk-woolfolk, MS, LLPC, CAC-M Counselor Medicare: Not Enrolled in Medicare Practice Location: 3731 Rivard St, Detroit, MI 48207 Phone: 313-258-9713
Alicia Monique Lurry, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8171 Parkland, Detroit, MI 48239 Phone: 313-282-7567
Mr. Darren Kilgore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 269 Walker St, 538, Detroit, MI 48207 Phone: 313-610-0134

Kimberly Ruth Taylor, LPC - Medicare Counselor in Detroit, MI