Kimberly Shahoney, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

141 Salem Ave Ste 104
Carbondale, PA 18407-2574

Phone

(570) 766-0171

NPI assigned

Jul 31, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1043864770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BODNICK ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184521801",
            "telephone_number": "570-766-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SALEM AVE STE 104",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072574",
            "telephone_number": "570-766-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHONEY",
        "first_name": "KIMBERLY",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald G Salko, DDS
• Sharon Marie Savakinas, PA-C
• Amy Marie Schamell, RBT
• Francis J Schell, MD
• Scranton Carbondale Imaging LLC
• Mary Shea, DPT
• Arun Jamnadas Shingala, MD
• Cybil Allison Long Shoemaker
• Danielle Dionne Sholcosky, LCSW/CPRP
• John Michael Shovlin

• Mental Health Counselor in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.