Active NPI
Kimberley G Lewis, MA, CRC, LPCC, NCC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1659520989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E1300232
- Practice address
- 4449 Easton Way Ste 200
Columbus, OH 43219-7005 - Phone
- (614) 869-4846
- NPI assigned
- Sep 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2668 | AL | |
| Professional Counselor | 101YP2500X | E1300232 | OH | Primary |
Addresses
Primary practice location
4449 Easton Way Ste 200
Columbus, OH 43219-7005
Mailing address
4449 Easton Way Ste 200
Columbus, OH 43219-7005
Phone (614) 383-8489
Other practice location 1
457 Waterbury Ct Ste E
Gahanna, OH 43230-5310
Phone (614) 478-3050
Other practice location 2
7602 Slate Ridge Blvd
Reynoldsburg, OH 43068-8157
Phone (614) 626-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846675 | Medicaid | OH |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1300232 | OH | MD | Professional Counselor |
| 2668 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redirection Counseling and Consulting | Professional | Current | Accepting new patients |
Locations
4449 Easton Way
Ste 200
Columbus, OH 43219
Phone (614) 619-7959
Organizations & group practices 1
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.
-
- Professional Counselor
- Columbus, OH
- NPI 1508568866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1659520989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4449 EASTON WAY STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432197005",
"telephone_number": "614-383-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4449 EASTON WAY STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432197005",
"telephone_number": "614-869-4846"
}
],
"practiceLocations": [
{
"address_1": "457 Waterbury Ct Ste E",
"address_purpose": "LOCATION",
"city": "Gahanna",
"state": "OH",
"postal_code": "432305310",
"country_code": "US",
"telephone_number": "614-478-3050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7602 Slate Ridge Blvd",
"address_purpose": "LOCATION",
"city": "Reynoldsburg",
"state": "OH",
"postal_code": "430688157",
"country_code": "US",
"telephone_number": "614-626-2696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "KIMBERLEY",
"middle_name": "G",
"credential": "MA, CRC, LPCC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2668",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1300232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2846675",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.