Kimberly Eisom

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5577 Airport Hwy Ste 200
Toledo, OH 43615-7364

Phone

(419) 720-0442

NPI assigned

Oct 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Personal Growth Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
  • NPI 1023776028
  NPD
• Personal Growth Counseling Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1801601984
  NPD

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1497622880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 AIRPORT HWY STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157364",
            "telephone_number": "419-720-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 AIRPORT HWY STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157364",
            "telephone_number": "419-720-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISOM",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan F Eischen, CRNA
• Kenneth William Eisenbach, L.P.N.
• Lisa Lennette Eisenbach, L.P.N.
• Felicia R Eisenbrandt, CNP
• Taylor Eisenman-Patel, MD
• Sarah Eissa
• Lindsey Ann Eitniear, PHARMD, BCPS, RPH
• Samantha Ishani Ekanayake, MD
• Obi Ekwenna, M.D.
• Mary Amina Anita El Gendi, MD

• Case Manager/Care Coordinator in Toledo, OH
• Providers in Toledo, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.