Individual provider Active NPI

Kimberly Rich

  • Counselor
  • Akron, OH
National Provider Identifier
1205298304
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E 0900652 Issued in OH
Practice address
680 E Market St
Akron, OH 44304-1614
Phone
(330) 315-3751
NPI assigned
Mar 28, 2016
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E 0900652 OH Primary

Addresses

Primary practice location

680 E Market St
Akron, OH 44304-1614

Mailing address

725 E Market St
Akron, OH 44305-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240821002509 OH Practitioner - Mental Health Counselor 7810435864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Drug Board, IncGroup PAC ID 8022061142, 11 clinicians

Practice addresses (Care Compare)

725 E Market St
Akron, OH 44305-2421
Phone (330) 434-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 0900652OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Drug Board, Inc Current Accepting new patients
Community Drug Board, Inc CurrentSince May 26, 2024 Accepting new patients
Community Drug Board, Inc CurrentSince May 26, 2024 Accepting new patients
Community Drug Board, Inc Current Accepting new patients

Locations

680 E Market St
Akron, OH 44304
Phone (330) 315-3751

725 E Market St
Akron, OH 44305
Phone (330) 434-4141

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1205298304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041614",
            "telephone_number": "330-315-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E 0900652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.