Organization Active NPI

Kinneykares, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1629618590
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
KINNEYKARES, INC.
Practice address
1599 E 40TH St
Cleveland, OH 44103-2301
Phone
(216) 990-8306
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Tammi Carson
Title
Cfo
Phone
(216) 990-8306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1599 E 40TH St
Cleveland, OH 44103-2301

Mailing address

39910 Lochmoor Dr
Solon, OH 44139-5951

National Provider Directory

National Provider Directory

Locations

1599 E 40th St
Cleveland, OH 44103
Phone (216) 990-8306

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1629618590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39910 LOCHMOOR DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 E 40TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032301",
            "telephone_number": "216-990-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNEYKARES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-990-8306"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.