Kimberly A Tindell, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0032025 Issued in OH

Practice address

5760 Patriot Drive
Austintown, OH 44515

Phone

(330) 610-6476

NPI assigned

Aug 3, 2022

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

On Demand Counseling LLCGroup PAC ID 0941554133, 17 clinicians

Practice addresses (Care Compare)

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.

• On Demand Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Austintown, OH
  • NPI 1093257859
  Medicare reassignment Care Compare group NPD
• On Demand Counseling LLC

  • Community/Behavioral Health Agency
  • Austintown, OH
  • NPI 1639793938
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1083341614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 PATRIOT DRIVE",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-610-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 PATRIOT DRIVE",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-610-6476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443081529",
            "country_code": "US",
            "telephone_number": "330-253-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Superior St.",
            "address_purpose": "LOCATION",
            "city": "Newton Falls",
            "state": "OH",
            "postal_code": "444441529",
            "country_code": "US",
            "telephone_number": "330-578-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINDELL",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0032025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Thompson
• John Thompson
• Stacia Lynne Thompson, LPN
• Laura Thornton
• Nikki Tilton
• Jahn Tinglum
• Herbert George Tinsley
• Rora Michelle Tokash, CT
• Tolga Icli, M.D.
• Abraham Torres

• Psychiatric/Mental Health Nurse Practitioner in Austintown, OH
• Providers in Austintown, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.
• 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.