Kimberly Eisel, MA TF-CBT

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

37 W Main St
Buckhannon, WV 26201-2235

Phone

(681) 331-5421

NPI assigned

Jun 15, 2022

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

Other names 1

• Kimberly Nemec Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1306576947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W MAIN ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012235",
            "telephone_number": "681-331-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W MAIN ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012235",
            "telephone_number": "681-331-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEL",
        "first_name": "KIMBERLY",
        "credential": "MA TF-CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306576947",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "nemeckimberly@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Behavior Health",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapy",
            "address_1": "37 W Main St",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262012235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "NEMEC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina Rose Dutchess
• Nelda Jo Dyer-Galarneau
• Amanda Eagle
• Christa M Edwards
• June Edwards
• Andrea Louise Ellis, MS,CCC/SLP
• Linda Joyce Elmore, LMT
• Emergency Site Protection
• Rae Lee Emrick, ATC, CSCS
• Rosemary Endrizzi

• Counselor in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.