Kimberly Loney LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KIMBERLY LONEY LLC

Practice address

3106 Mallard Cove LN
Fort Wayne, IN 46804-2882

Phone

(260) 418-2029

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Loney, LMHCNPI 1649517814

Title

Owner

Phone

(260) 418-2029

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kimberly Elise Loney, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1649517814
  NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1760073498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042882",
            "telephone_number": "260-418-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042882",
            "telephone_number": "260-418-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY LONEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "LONEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-418-2029",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201137000A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seung Soo Kim, MD
• Yeseul Kim, M.D
• Aaron Kimball, DC
• Jennifer Kimball, RN
• Ken A Kimball, RPH
• Aaron Kimble, LMHC
• Grace Anne Kimes, RBT
• Eric Ryan Kimmel, M.D.
• Tyler Jerome Kimmel, DDS
• Mackenzie Kimpel, CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.