Kimberly K Hines, LPCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

E 0500477 Issued in OH

Practice address

2675 Oakwood Dr
Cuyahoga Falls, OH 44221-2648

Phone

(330) 940-2522

Fax

(330) 940-3366

NPI assigned

Apr 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Collin A Myers Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Fairhaven Foundation, Inc.

  • Mental Health Counselor
  • Munroe Falls, OH
  • NPI 1689722456
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1073830337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 OAKWOOD DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212648",
            "telephone_number": "330-940-2522",
            "fax_number": "330-940-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 OAKWOOD DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212648",
            "telephone_number": "330-940-2522",
            "fax_number": "330-940-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E 0500477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E 0500477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLIN",
            "last_name": "MYERS",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristi Marie Hicks
• Robert Hier
• Scott D Higley, D.O.
• Gregory Hill, D.O.
• Tammy Lee Hill
• Amber Hiszem, M.A., CCC-SLP
• Olivia Hixson
• Colleen S Hoch, RN
• Courtney Hochman, PHARMD, BCPS
• Emily Hoffman

• Addiction (Substance Use Disorder) Counselor in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.