Kimberly Ross Pantone, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008219 Issued in VA

Practice address

297 Independence Blvd Ste 300
Virginia Beach, VA 23462-2911

Phone

(757) 385-0850

Fax

(757) 473-2136

NPI assigned

Mar 29, 2019

Last updated

Jun 11, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1144781345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 HERMITAGE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554525",
            "telephone_number": "757-509-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 INDEPENDENCE BLVD STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622911",
            "telephone_number": "757-385-0850",
            "fax_number": "757-473-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTONE",
        "first_name": "KIMBERLY",
        "middle_name": "ROSS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186152472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aviance Chantal Pankey, NP
• Sarah Ann Panko, MSORT OTR/L
• Michael S Pankow, D.C.
• Jean Michel Panneton, MD
• Addison Panse, OTR
• Steven Gerald Papariello, MD
• John M Paradiso, LCSW
• Derrick Anthony Paramore, M.A.
• Jose Rivera Paredes Jr., PT
• Parent Helping Parents Inc,

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.