Individual provider Active NPI

Kimberly A Ford, LPCC-S, LICDC-CS, MA

  • Addiction (Substance Use Disorder) Counselor
  • Steubenville, OH
National Provider Identifier
1679742092
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
070480 Issued in OH
Practice address
320 Market St FL 3
Steubenville, OH 43952-2153
Phone
(740) 314-5339
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 070480 OH Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

320 Market St FL 3
Steubenville, OH 43952-2153

Mailing address

30697 King Rd
Salem, OH 44460-9531
Phone (330) 853-6523

Other practice location 1

333 W 4th St
Salem, OH 44460-2715
Phone (740) 314-5339

Other identifiers 1

IdentifierTypeStateIssuer
0210495MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419000390 OH Practitioner - Mental Health Counselor 9335497502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

320 Market St
FL 3
Steubenville, OH 43952-2153
Phone (740) 314-5339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
070480OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A and K Enterprises Inc Addiction (Substance Use Disorder) CurrentSince Mar 2, 2024 Accepting new patients
A and K Enterprises Inc Addiction (Substance Use Disorder) CurrentSince Mar 2, 2024 Accepting new patients

Locations

333 W 4th St
Salem, OH 44460
Phone (740) 314-5339

320 Market St
Fl 3
Steubenville, OH 43952
Phone (740) 314-5339

Organizations & group practices 2

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1679742092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30697 KING RD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444609531",
            "telephone_number": "330-853-6523",
            "fax_number": "330-453-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MARKET ST FL 3",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522153",
            "telephone_number": "740-314-5339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444602715",
            "country_code": "US",
            "telephone_number": "740-314-5339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LPCC-S, LICDC-CS, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "070480",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.