Kimberly A Eckberg, P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.0700434 Issued in OH

Practice address

4510 Dressler Rd NW
Canton, OH 44718-2546

Phone

(330) 494-5155

Fax

(330) 494-6868

NPI assigned

Mar 5, 2010

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": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1235452228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182546",
            "telephone_number": "330-494-5155",
            "fax_number": "330-494-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182546",
            "telephone_number": "330-494-5155",
            "fax_number": "330-494-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKBERG",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0700434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lexis Eberly
• Pamela Ebert, LPCC-S
• Michael Frederick Eck
• Tanya Eckard, STNA
• Justin Michael Eckberg, DNP, RN, CRNA
• Noelle Eckinger, PTA
• Kimberly Ann Eckman
• Kathrine Ann Eddleman, M.A. CCC-SLP
• Stephanie Lynn Ediger, PTA
• Matthew E. Edington, D.P.M.

• Professional Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.