Kimberly Wright, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001897A Issued in IN

Practice address

408 North Wayne St. PMB 143
Angola, IN 46703-1522

Phone

(260) 665-6543

Fax

(260) 665-6535

NPI assigned

Oct 15, 2007

Last updated

Nov 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Pathway to Clarity, LLC

  • Community/Behavioral Health Agency
  • Angola, IN
  • NPI 1427345792
  NPD (past) Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1306034426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NORTH WAYNE ST. PMB 143",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031522",
            "telephone_number": "260-665-6543",
            "fax_number": "260-665-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NORTH WAYNE ST. PMB 143",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031522",
            "telephone_number": "260-665-6543",
            "fax_number": "260-665-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KIMBERLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001897A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201035220A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sung Ook Whang, M.D.
• Allison White
• Thomas Joseph Wiegand, O.D.
• Galen Ricci Williams, DDS
• Shawna R Woodlee, RBT
• Donna Marie Wyse, LMHC
• Cierra Young
• Libby Marie Zeeb
• Madeline Zink
• Anthony J Zvirblis, DC

• Mental Health Counselor in Angola, IN
• Providers in Angola, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.