Active NPI
Janice Leigh Kimball
Doing business as Janice L Kimball
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oklahoma City, OK
National Provider Identifier
1326779240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- JANICE LEIGH KIMBALL
- Doing business as
- Janice L Kimball
- Practice address
- 3000 W Memorial Rd Ste 218
Oklahoma City, OK 73120-6103 - Phone
- (405) 400-9991
- NPI assigned
- Jun 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Leigh Kimball, LCSW
- Title
- Owner
- Phone
- (405) 400-9991
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3000 W Memorial Rd Ste 218
Oklahoma City, OK 73120-6103
Mailing address
3000 W Memorial Rd Ste 218
Oklahoma City, OK 73120-6103
Phone (405) 400-9991
Other names 1
- Janice L Kimball
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3000 W Memorial Rd
Ste 218
Oklahoma City, OK 73120
Phone (405) 286-2977
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Oklahoma City, OK
- NPI 1629128301
-
- Clinical Social Worker
- Oklahoma City, OK
- NPI 1205241718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1326779240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 W MEMORIAL RD STE 218",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731206103",
"telephone_number": "405-400-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 W MEMORIAL RD STE 218",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731206103",
"telephone_number": "405-400-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANICE LEIGH KIMBALL",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-21",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "KIMBALL",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-400-9991",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Janice L Kimball",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Janice L Kimball",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.