Active NPI
Sharon Ann Kimberling, MED, NCC, LPC
- Counselor
- Tyrone, PA
National Provider Identifier
1417167495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC004253
- Practice address
- 1650 Clay Ave
Tyrone, PA 16686-2150 - Phone
- (814) 684-1945
- NPI assigned
- May 22, 2007
- Last updated
- Sep 24, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC004253 | PA | Primary |
Addresses
Primary practice location
1650 Clay Ave
Tyrone, PA 16686-2150
Mailing address
1539 Hoovers LN
Tyrone, PA 16686-8420
Phone (814) 684-1945
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004253 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1417167495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 HOOVERS LN",
"city": "TYRONE",
"state": "PA",
"postal_code": "166868420",
"telephone_number": "814-684-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 CLAY AVE",
"city": "TYRONE",
"state": "PA",
"postal_code": "166862150",
"telephone_number": "814-684-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBERLING",
"first_name": "SHARON",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MED, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC004253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyrone, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.