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Deactivated NPI 1215684337 Deactivated / Inactive NPI Female Practitioner

Kim Blockmon Fields

Counselor • Pearland, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kim Blockmon Fields has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2022
NPI Deactivation Date April 14, 2026
Total Practice Duration ~4 Years of Practice (2022 – 2026)

Professional Overview & Biography Verified Profile Summary

Kim Blockmon Fields was a registered Counselor practicing in Pearland, TX. Throughout an active medical career spanning 4 years, Kim Blockmon Fields provided care at the practice location at 1234 MODENA DR until profile deactivation on 2026-04-14.

Practice Location & Contact Primary Location

Practice Address

1234 Modena Dr

Pearland, TX 775815334

Telephone 8325580309

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Pearland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Pearland, TX (3454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TX 16883

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 14, 2026

Record deactivated on April 14, 2026

NPI Profile Active March 12, 2022

NPI status registered as active in NPPES database

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Updated Practice Location March 12, 2022

Registered at 1234 MODENA DR, PEARLAND, TX 775815334 (Tel: 8325580309)

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Updated Business Mailing Address March 12, 2022

Registered at 1234 MODENA DR, PEARLAND, TX 775815334 (Tel: 8325580309)

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Provider Name / Credentials Updated March 12, 2022

Recorded as KIM BLOCKMON FIELDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2022

Counselor (License #16883 in TX)

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Initial NPI Registration & Enumeration March 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215684337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2022
Last Update: March 12, 2022
Deactivation Date: April 14, 2026

Mailing Address

1234 Modena Dr

Pearland, TX 775815334

Phone: 8325580309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.