Active NPI
Kimberly Anne Patton, M.S., CADC
- Addiction (Substance Use Disorder) Counselor
- Dunmore, PA
National Provider Identifier
1346785664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 9100
- Practice address
- 118 Monahan Ave
Dunmore, PA 18512-1700 - Phone
- (570) 344-5327
- NPI assigned
- Dec 21, 2016
- Last updated
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9100 | PA | Primary |
Addresses
Primary practice location
118 Monahan Ave
Dunmore, PA 18512-1700
Mailing address
40 E Merritt St
Plains, PA 18705-2002
Phone (570) 817-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9100 | PA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1346785664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 E MERRITT ST",
"city": "PLAINS",
"state": "PA",
"postal_code": "187052002",
"telephone_number": "570-817-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 MONAHAN AVE",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185121700",
"telephone_number": "570-344-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "M.S., CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "9100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunmore, PA
- Christine Paroby, MS, SLP
- Roshani Suman Patel-Chludzinski
- Deep Hiteshkumar Patel
- Pathology Associates of NE PA LTD
- Catherine Michael Patrick, DO
- Pennsylvania Ambulance LLC
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01612)
- Taylor Perry, D.C.
- Christopher Albert Peters, MD
- Andrea Mary Petitto Long, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.