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

Kimberly Shepherd

Individual provider Professional Counselor · NPI 1245097724

Kimberly Shepherd is a Mental Health Counselor in Kansas City, Missouri. Qualified in 2023, 3 years ago. Registered with an NPI since 2024.

Years since qualifying
3
In the registry since
2024

Practice location Address checks out

300 W 19th Ter
Kansas City, MO 64108-2026
Phone: (816) 404-5709
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1245097724
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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