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

Miss. Kimberly Ann Douglas, LPC

Individual provider Counselor · NPI 1932406659

Miss. Kimberly Ann Douglas, LPC is a Mental Health Counselor in Detroit, Michigan. Qualified in 2002, 24 years ago. Practices with County of Macomb, a 81-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2011
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

707 W Milwaukee St
Detroit, MI 48202-2943
Phone: (313) 833-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (MI)
Counselor Taxonomy 101Y00000X (MI)
Pastoral Counselor Taxonomy 101YP1600X (MI)
Professional Counselor Taxonomy 101YP2500X (MI)

Record details

NPI number1932406659
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 15, 2011
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice County Of Macomb — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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