Kimberly Ann Mitchell, M.A., L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC001665 Issued in PA

Practice address

141 E. Fairmount Ave.
State College, PA 16801-5315

Phone

(814) 234-3464

Fax

(814) 237-6646

NPI assigned

Apr 28, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Claire Van Ogtrop Psychotherapy, LLC

  • Clinical Social Worker
  • State College, PA
  • NPI 1760271068
  NPD (past)
• Jessica C Effrig Psychotherapy LLC

  • Community/Behavioral Health Agency
  • State College, PA
  • NPI 1740703636
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1306163530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E. FAIRMOUNT AVE.",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015315",
            "telephone_number": "814-234-3464",
            "fax_number": "814-237-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E. FAIRMOUNT AVE.",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015315",
            "telephone_number": "814-234-3464",
            "fax_number": "814-237-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC001665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milton S Hershey Medical Center Physicians Group
• Scott M Minor, PA-C
• Kevin Allan Mishock, D.O.
• Brenton Joo Mitchell, LPC
• Gary Alan Mitchell, MD
• Pamela Ann Mitchell, P.T.
• Maria Moeslein, LBS
• Mehwish Moinuddin, D.O.
• Marissa Mondock
• Monica C. Montag, C.N.

• Mental Health Counselor in State College, PA
• Providers in State College, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.