Organization Active NPI

Kingdom Developers Consulting Inc

  • Clinical Social Worker
  • Solon, OH
National Provider Identifier
1730468463
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KINGDOM DEVELOPERS CONSULTING INC
Practice address
33333 Station St Unit 391006
Solon, OH 44139-9533
Phone
(440) 252-5354
Fax
(440) 252-5379
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Nichole M Cobb, LISW-S, OCPCNPI 1043512098
Title
President
Phone
(440) 364-9171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

33333 Station St Unit 391006
Solon, OH 44139-9533

Mailing address

33333 Station St Unit 391006
Solon, OH 44139-9533
Phone (440) 252-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111010000541 OH Part B Supplier - Clinic/Group Practice 7214109503 Receives reassigned benefits from 1 practitioner
Practice locations: Solon, OH

National Provider Directory

National Provider Directory

Locations

33333 Station St
Unit 391006
Solon, OH 44139
Phone (440) 252-5354

2121 S Green Rd
Ste 213
South Euclid, OH 44121
Phone (216) 481-8585

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1730468463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33333 STATION ST UNIT 391006",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441399533",
            "telephone_number": "440-252-5354",
            "fax_number": "440-252-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33333 STATION ST UNIT 391006",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441399533",
            "telephone_number": "440-252-5354",
            "fax_number": "440-252-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM DEVELOPERS CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-364-9171",
        "authorized_official_credential": "LISW-S, OCPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.