Individual provider Active NPI

Tamara L Kilgore, TRNE

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1396458774
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2204028 Issued in OH
Practice address
11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835
Phone
(513) 866-4645
Fax
(513) 866-4600
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2204028 OH Primary

Addresses

Primary practice location

11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835

Mailing address

11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835
Phone (513) 866-4645

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tami.prophater@gmail.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
C2204028OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Is Here Counseling and Consulting Services LLC Mental Health CurrentSince Jan 8, 2023 Accepting new patients
Treemedous Care Therapeutic Services LLC Mental Health CurrentSince Feb 12, 2023 Accepting new patients

Locations

11223 Cornell Park Dr
Ste 102
Blue Ash, OH 45242
Phone (513) 866-4645

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1396458774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 CORNELL PARK DR STE 102",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421835",
            "telephone_number": "513-866-4645",
            "fax_number": "513-866-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 CORNELL PARK DR STE 102",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421835",
            "telephone_number": "513-866-4645",
            "fax_number": "513-866-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "TRNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C2204028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tami.prophater@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11223 Cornell Park Dr Ste 102",
            "city": "Blue Ash",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452421835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.