Kimberly Niyogi, MACC, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

51 Market St
Bangor, PA 18013-1901

Phone

(610) 588-9109

NPI assigned

Apr 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Methodist Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, PA
  • NPI 1457386328

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1033615240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 PAXINOSA AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180421309",
            "telephone_number": "610-217-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MARKET ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131901",
            "telephone_number": "610-588-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIYOGI",
        "first_name": "KIMBERLY",
        "credential": "MACC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014528",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Methodist Services
• Methodist Services for Children and Families
• Erica Jaclyn Miller, PT
• Jana Morris, MS, LPC, CCS, CAADC
• Michael Jeremy Natal Jr.
• Northwood Health Services, PC
• Christopher J. Nowik, O.D.
• Oak HRC Slate Belt LLC
• One Day Bath Inc.
• Abigail Bess Oxford, ATR-BC, LPC

• Counselor in Bangor, PA
• Providers in Bangor, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.