Kimerlea Renee Ball
Individual provider Active NPI Professional Counselor · Medford, OR
NPI 1326548801 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1326548801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 201 W Main St Ste 4B
Medford, OR 97501-2734 - Phone
- (541) 414-1720
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
201 W Main St Ste 4B
Medford, OR 97501-2734
Mailing address
201 W Main St Ste 4B
Medford, OR 97501-2734
Other providers in Medford, OR
- Berta P Baldovino Navarro
- Lucinda Baldovino
- Jessica Baldwin
- Mariah Kathlyn Baldwin
- Laura Balestreri
- Shannon Deidre Ball
- Matthew Scott Ballantyne
- Joanna Lea Ballard
- Elizabeth S Ballergin
- Kassandra Balli
All providers in Medford, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.