Active NPI
Kinneykares, Inc.
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1629618590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryLocations
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.