Active NPI
Kimberly M. Hammonds, LCDC III, C-T
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
National Provider Identifier
1710443601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCIII.161151
- Practice address
- 680 Northland Blvd
Cincinnati, OH 45240-3248 - Phone
- (513) 941-4999
- NPI assigned
- Feb 15, 2019
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | C.1901626-TRNE | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.161151 | OH | Primary |
Addresses
Primary practice location
680 Northland Blvd
Cincinnati, OH 45240-3248
Mailing address
6460 Harrison Ave
Cincinnati, OH 45247-7957
Phone (513) 941-4999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCIII.161151 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C.1901626-TRNE | OH | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1710443601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6460 HARRISON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477957",
"telephone_number": "513-941-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 NORTHLAND BLVD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452403248",
"telephone_number": "513-941-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMONDS",
"first_name": "KIMBERLY",
"middle_name": "M.",
"credential": "LCDC III, C-T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "OH",
"license": "C.1901626-TRNE",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.161151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.