Individual provider Active NPI

Kimberley G Lewis, MA, CRC, LPCC, NCC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1659520989
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1300232 Issued in OH
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

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2846675MedicaidOH

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

LicenseStateTypeSpecialty
E1300232OHMDProfessional Counselor
2668ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.