Kimberly Ledwa, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-5328 Issued in ID

Legal business name

KIMBERLY LEDWA, LLC

Practice address

2971 E Copper Point Dr Ste 100
Meridian, ID 83642-9276

Phone

(208) 376-5683

Fax

(208) 376-5690

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly O Ledwa, LCPC, ACADCNPI 1023315108

Title

Owner/Counselor Supervisor

Phone

(208) 376-5683

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Opal Ledwa, LCPC, ACADC

  • Professional Counselor
  • Nampa, ID
  • NPI 1023315108
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1720573512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 E COPPER POINT DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429276",
            "telephone_number": "208-376-5683",
            "fax_number": "208-376-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 E COPPER POINT DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429276",
            "telephone_number": "208-376-5683",
            "fax_number": "208-376-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY LEDWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "LEDWA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/COUNSELOR SUPERVISOR",
        "authorized_official_telephone_number": "208-376-5683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, ACADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-5328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter James Killian, M.D.
• Steven Killion, D.C.
• Susan C Kim, MD
• Stella Kimani
• Yvonne Kimazi
• Kendrick Justin King Gunning, PTA
• Annastasia M King
• Carlyn King, D.O.
• Chandra Dawn King, FNP-C
• Dawn K King, M.D.

• Professional Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.