Individual provider Active NPI

Kimberly Michaels

  • Professional Counselor
  • Yellow Springs, OH
National Provider Identifier
1396459939
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2606684 Issued in OH
Practice address
360 E Enon Rd
Yellow Springs, OH 45387-1415
Phone
(937) 767-1303
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X E.2606684 OH Primary

Addresses

Primary practice location

360 E Enon Rd
Yellow Springs, OH 45387-1415

Mailing address

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 772-7909

Other practice location 1

108 Erin Ct
Hillsboro, OH 45133-8591
Phone (937) 393-9946

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
E.2606684OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County Educational Service Center Past Accepting new patients

Organizations & group practices 1

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1396459939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-772-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E ENON RD",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871415",
            "telephone_number": "937-767-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Erin Ct",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451338591",
            "country_code": "US",
            "telephone_number": "937-393-9946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2606684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yellow Springs, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.