Active NPI
Kimberly Perros
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1104220516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC.C.1200436
- Practice address
- 274 Sutton Rd
Cincinnati, OH 45230-3521 - Phone
- (513) 231-5010
- Fax
- (513) 231-8651
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC.C.1200436 | OH | Primary |
Addresses
Primary practice location
274 Sutton Rd
Cincinnati, OH 45230-3521
Mailing address
5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone (513) 741-3100
Other names 1
- Miss Kimberly McCoy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC.C.1200436 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1104220516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 EDALBERT DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397604",
"telephone_number": "513-741-3100",
"fax_number": "513-741-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 SUTTON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452303521",
"telephone_number": "513-231-5010",
"fax_number": "513-231-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERROS",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "PC.C.1200436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "MCCOY",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.