Mrs Kimberly Jo Scipione, LPC is a medicare enrolled "Counselor - Professional" provider in Vacaville, California. Her current practice location is
7188 Gibson Canyon Rd, Vacaville, California. You can reach out to her office (for appointments etc.) via phone at
(720) 383-8311.
Mrs Kimberly Jo Scipione is licensed to practice in Colorado (license number 6571) 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 1720338221.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Jo Scipione |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 7188 Gibson Canyon Rd, Vacaville, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720338221
- Provider Enumeration Date: 09/12/2012
- Last Update Date: 08/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557880903
- Enrollment ID: I20250528003611
Medical Identifiers
Medical identifiers for Mrs Kimberly Jo Scipione such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720338221 | NPI | - | NPPES |
1720338221 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSB94028908 (California) | Secondary |
101YP2500X | Counselor - Professional | 6571 (Colorado) | 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. Mrs Kimberly Jo Scipione allows following entities to bill medicare on her behalf.
Entity Name | Pure Autism Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649737735 PECOS PAC ID: 4284967167 Enrollment ID: O20190607001200 |
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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. Mrs Kimberly Jo Scipione 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 |
Mrs Kimberly Jo Scipione, LPC 9695 S Yosemite St, Lone Tree, CO 80124-2888 Ph: (720) 383-8311 | Mrs Kimberly Jo Scipione, LPC 7188 Gibson Canyon Rd, Vacaville, CA 95688-9708 Ph: (720) 383-8311 |
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