Active NPI
Ashley Reed-Kimble, LCSW
- Clinical Social Worker
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008108A
- Practice address
- 1904 W Royale Dr
Muncie, IN 47304-2264 - Phone
- (765) 284-0043
- Fax
- (765) 284-4112
- NPI assigned
- Jun 18, 2009
- Last updated
- Jun 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | 34008108A | IN | Primary |
Addresses
Primary practice location
1904 W Royale Dr
Muncie, IN 47304-2264
Mailing address
PO Box 487
Richmond, IN 47375-0487
Phone (765) 983-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008108A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Center | Mental Health | Current | Accepting new patients |
| Grant-Blackford Mental Health, Inc. | Current | Accepting new patients | |
| Grant-Blackford Mental Health, Inc. | Current | Accepting new patients | |
| Rush Memorial Hospital | Past | Accepting new patients |
Locations
2101 Jackson St
Ste 109
Anderson, IN 46016
Phone (503) 270-3776
101 S Washington St
Marion, IN 46952
Phone (765) 662-9971
116 E 32nd St
Marion, IN 46953
Phone (765) 662-2039
505 N Wabash Ave
Marion, IN 46952
Phone (765) 662-3971
3310 W Fox Ridge Ln
Ste A
Muncie, IN 47304
Interoperability endpoints
- https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba Radiant Health Services
- Community/Behavioral Health Agency
- Marion, IN
- NPI 1407848500
-
dba Radiant Health Services
- Community/Behavioral Health Agency
- Marion, IN
- NPI 1437983103
-
dba RMH Healthcare Associates Rural Health Clinic
- Rural Health Clinic/Center
- Rushville, IN
- NPI 1659935781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559433600000",
"number": "1336376110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 487",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473750487",
"telephone_number": "765-983-8000",
"fax_number": "765-983-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 W ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042264",
"telephone_number": "765-284-0043",
"fax_number": "765-284-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED-KIMBLE",
"first_name": "ASHLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2019-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008108A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.