Ophir Bond Enterprises Diversified

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

OPHIR BOND ENTERPRISES DIVERSIFIED

Doing business as

Kibosh Recovery

Practice address

4104 Highway 411
Madisonville, TN 37354-1561

Phone

(865) 315-3235

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katheryn Kingery, LADAC IINPI 1457942674

Title

Ceo

Phone

(406) 300-2984

Specialties & licenses 1

Addresses

Other names 1

• Kibosh Recovery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katheryn Janelle Kingery

  • Addiction (Substance Use Disorder) Counselor
  • Madisonville, TN
  • NPI 1457942674
  Authorized official Same address or phone

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1225932668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CLOVER HL",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741119",
            "telephone_number": "865-315-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541561",
            "telephone_number": "865-315-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHIR BOND ENTERPRISES DIVERSIFIED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "KINGERY",
        "authorized_official_first_name": "KATHERYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-300-2984",
        "authorized_official_credential": "LADAC II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kibosh Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Michael Newman, FNP-BC
• Rebecca Nicholson, LCSW
• Tiffany Norton, MSN
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• Susan Marie Orr, LPC/MHSP
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• Gregory Preston, O.T.R/L
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• R Andrew Turner DDS MDS PLLC

• Substance Use Disorder Rehabilitation Clinic/Center in Madisonville, TN
• Providers in Madisonville, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.