Individual provider Active NPI

Ashley Simone Kimble, LPC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1245927136
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2304984 Issued in OH
Practice address
415 Glensprings Dr Ste 201
Cincinnati, OH 45246-2353
Phone
(513) 252-0248
Fax
(513) 348-1306
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2304984 OH
Professional Counselor 101YP2500X C.2304984 OH Primary

Addresses

Primary practice location

415 Glensprings Dr Ste 201
Cincinnati, OH 45246-2353

Mailing address

415 Glensprings Dr Ste 201
Cincinnati, OH 45246-2353
Phone (513) 904-5075

Other identifiers 1

IdentifierTypeStateIssuer
C.2304984OtherOHOHIO CSWMFT BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2304984OHMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1245927136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462353",
            "telephone_number": "513-904-5075",
            "fax_number": "513-348-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462353",
            "telephone_number": "513-252-0248",
            "fax_number": "513-348-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "ASHLEY",
        "middle_name": "SIMONE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2304984",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2304984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO CSWMFT BOARD",
            "identifier": "C.2304984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.