Kimball Counseling PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C008384 Issued in NC

Legal business name

KIMBALL COUNSELING PC

Practice address

258 N Main St
Ste a
Waynesville, NC 28786-3812

Phone

(828) 246-6100

Fax

(828) 246-6100

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Susan Penney Kimball, LCSW, CASACNPI 1336494210

Title

Owner

Phone

(828) 246-6100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan P Kimball, LCSW

  • Clinical Social Worker
  • Waynesville, NC
  • NPI 1336494210
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1134539364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 FERN TRL",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287869706",
            "telephone_number": "828-246-6100",
            "fax_number": "828-246-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 N MAIN ST",
            "address_2": "STE A",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863812",
            "telephone_number": "828-246-6100",
            "fax_number": "828-246-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PENNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-246-6100",
        "authorized_official_credential": "LCSW, CASAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Kennedy, APRN, BC, P.A.
• Marissa Kent-White, BS, MS
• Andrew H Kersten
• Julie Kilburn
• Tammy Sunjung Kim, COTA
• Susan P Kimball, LCSW
• Sherry Elizabeth Kimmel, LPTA
• Robin G. King, APRN,BC
• Christina Shawn Kirkpatrick
• Christy Cagle Kirkpatrick, PHARM D

• Community/Behavioral Health Agency in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.