Kimberly Erin Hotlosz, CRC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2076 Issued in WV

Practice address

123 Donna Ave
Morgantown, WV 26505-2884

Phone

(304) 319-1617

NPI assigned

Jun 3, 2015

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

Enrolled in WV

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psi Med Inc 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Psimed, Inc.

  • Psychiatry Physician
  • Morgantown, WV
  • NPI 1932444221

  WV

  Medicare reassignment Care Compare group NPD
• GR&W, Inc

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1407192024

  WV

  Medicare reassignment NPD
• GR&W, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgantown, WV
  • NPI 1992665723
  NPD
• Links LLC

  • Psychiatry Physician
  • Saint Albans, WV
  • NPI 1265816599
  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1073993234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 WHITE WILLOW WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056119",
            "telephone_number": "304-460-5123",
            "fax_number": "800-734-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DONNA AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052884",
            "telephone_number": "304-319-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTLOSZ",
        "first_name": "KIMBERLY",
        "middle_name": "ERIN",
        "name_prefix": "Miss",
        "credential": "CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Leanne Host
• Meagan Host
• Samantha Host, M.S., LPC, CRC
• Lisa Kate Hostutler, PHARMD
• Ashley Hostuttler
• Kevin Hough
• House Call Rehab LLC
• Ronald Cleve House, DDS, MS
• Scott Dean House, RPH
• Atlee Houser, LICSW

• All providers in Morgantown, WV
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.