Kimberly Opal Ledwa, LCPC, ACADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-5248 Issued in ID

Practice address

17678 Dark Zebra Way
Nampa, ID 83687-9078

Phone

(208) 880-3785

NPI assigned

Feb 25, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Opal Hoffman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kimberly Ledwa, LLC

  • Professional Counselor
  • Meridian, ID
  • NPI 1720573512
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1023315108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SANDAL CRK",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865288",
            "telephone_number": "208-880-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17678 DARK ZEBRA WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879078",
            "telephone_number": "208-880-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDWA",
        "first_name": "KIMBERLY",
        "middle_name": "OPAL",
        "credential": "LCPC, ACADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-5248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HOFFMAN",
            "middle_name": "OPAL",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lara Lavasse
• Brigitta S Lavergne, MD
• Boyd Layton, PA-C
• Kerry E Leavell, LCPC, MT-BC
• Josh Leavitt, DO
• Brenda L Lee, PA
• Candace Lee, RN FIRST ASSISTANT
• Chloe Hiu Tung Lee
• Karin Elaine Lee
• Nicole Anne Bodenstab Lee, LMSW

• Professional Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.