Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimberly Dawn Bushore-Maki, MED, LPC, MHSP

Individual provider Mental Health Counselor · NPI 1891926325

MS. Kimberly Dawn Bushore-Maki, MED, LPC, MHSP is a Mental Health Counselor in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2009
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

600 E Unaka Ave
Johnson City, TN 37601-4035
Phone: (423) 202-4472
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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 · Licence 2195 (TN)

Record details

NPI number1891926325
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPC , MHSP
Sole proprietorYes
NPI enumeratedJuly 31, 2009
Last updated in NPPESJuly 31, 2009

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