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

MS. Kimberly Sue Vance, MASTEROFEDUCATION

Individual provider Counselor · NPI 1538230123

MS. Kimberly Sue Vance, MASTEROFEDUCATION is a Clinical Psychologist in South Bend, Indiana. Qualified in 1993, 33 years ago. Licensed in Indiana.

Years since qualifying
33
Licensed in
IN
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

17195 Cleveland Rd
South Bend, IN 46635-1415
Phone: (574) 277-0274
Fax: (574) 271-7202
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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 39001136A (IN)
Counselor Taxonomy 101Y00000X · Licence 39001136A (IN)

Record details

NPI number1538230123
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTEROFEDUCATION
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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