Individual provider Active NPI

Heather Marie Kimpel, LMFT

  • Mental Health Counselor
  • Dublin, OH
National Provider Identifier
1568945798
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
M.1800080 Issued in OH
Practice address
270 Bradenton Ave Ste 110
Dublin, OH 43017-7586
Phone
(614) 263-8161
Fax
(614) 263-8268
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 M.1800080 OH Primary

Addresses

Primary practice location

270 Bradenton Ave Ste 110
Dublin, OH 43017-7586

Mailing address

627 Black Hawk Dr
Marysville, OH 43040-8125

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
M.1800080OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1568945798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BLACK HAWK DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BRADENTON AVE STE 110",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177586",
            "telephone_number": "614-263-8161",
            "fax_number": "614-263-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPEL",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "M.1800080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.