Individual provider Active NPI

Kimberly M. Sias-Lombardi, MSW, LICSW

  • Mental Health Counselor
  • Milan, NH
National Provider Identifier
1184788341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
917 Issued in NH
Practice address
581 Milan Rd
Milan, NH 03588-3325
Phone
(603) 449-6756
Fax
(603) 449-6686
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 917 NH Primary

Addresses

Primary practice location

581 Milan Rd
Milan, NH 03588-3325

Mailing address

PO Box 92
Berlin, NH 03570-0092
Phone (603) 449-6756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20060313000271 NH Practitioner - Clinical Social Worker 5294742540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
917NHMDMassage Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184788341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035700092",
            "telephone_number": "603-449-6756",
            "fax_number": "603-449-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 MILAN RD",
            "city": "MILAN",
            "state": "NH",
            "postal_code": "035883325",
            "telephone_number": "603-449-6756",
            "fax_number": "603-449-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAS-LOMBARDI",
        "first_name": "KIMBERLY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, NH

Sources for this page

Verify at the official NPI Registry.