Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Backfisch, LPC, RPT

Individual provider Professional Counselor · NPI 1689292302

Kimberly Backfisch, LPC, RPT is a Mental Health Counselor in Advance, Missouri. Qualified in 2018, 8 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

19806 State Highway C
Advance, MO 63730-8352
Phone: (573) 321-8924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2019009248 (MO)

Record details

NPI number1689292302
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , RPT
Sole proprietorNo
NPI enumeratedJuly 9, 2020
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address3403 Bcr 725, Zalma, MO 63787-8769

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Advance