Ms Kertina Lynese Kimbrough, LPC in Dearborn, MI

Ms Kertina Lynese Kimbrough, LPC is a medicare enrolled "Counselor" provider in Dearborn, Michigan. Her current practice location is 5500 Auto Club Dr, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 317-2000.

Ms Kertina Lynese Kimbrough is licensed to practice in Michigan (license number 6401222259) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548824378.

Contact Information

	Ms Kertina Lynese Kimbrough, LPC
	5500 Auto Club Dr, Dearborn, MI 48126-2779
	(313) 317-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kertina Lynese Kimbrough
Gender	Female
Speciality	Counselor
Location	5500 Auto Club Dr, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548824378
Provider Enumeration Date: 04/26/2019
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 0042656712
Enrollment ID: I20240315003426

Medical Identifiers

Medical identifiers for Ms Kertina Lynese Kimbrough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548824378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6401222259 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kertina Lynese Kimbrough allows following entities to bill medicare on her behalf.

Entity Name	Iha Health Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kertina Lynese Kimbrough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kertina Lynese Kimbrough, LPC 24 Frank Lloyd Wright Dr # J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766	Ms Kertina Lynese Kimbrough, LPC 5500 Auto Club Dr, Dearborn, MI 48126-2779 Ph: (313) 317-2000

Reviews and Comments

Counselor in Dearborn, MI

Rajah Ismail, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6450 Maple St, Dearborn, MI 48126 Phone: 313-216-2200 Fax: 313-584-3622
Phoenix Greenwood-haller, Counselor Medicare: Medicare Enrolled Practice Location: 1 Parklane Blvd # 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657
Kathryn Landfair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19855 Outer Dr Ste 300w, Dearborn, MI 48124 Phone: 313-359-1977
Mrs. Nneka Jean Owens, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22190 Garrison St, Suite 204, Dearborn, MI 48124 Phone: 313-769-5705 Fax: 313-769-6008
Mr. John Hansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5075 Argyle St, Dearborn, MI 48126 Phone: 313-909-9390
Mrs. Lisa Michelle Green, LPC Counselor Medicare: Medicare Enrolled Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Mr. Jeffrey Wallace Spier, M.A., L.L.P., CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 23400 Michigan Ave, Suite 702, Dearborn, MI 48124 Phone: 313-274-7010 Fax: 313-274-3010

Ms Kertina Lynese Kimbrough, LPC - Medicare Counselor in Dearborn, MI