Elizabeth Kathy Gimben, LISW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

7204 Issued in OH

Practice address

25111 Country Club Blvd
Suite 290
North Olmsted, OH 44070-5345

Phone

(440) 614-2520

Fax

(440) 614-2526

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Coast Family Foundation

  • Psychologist
  • Middleburg Heights, OH
  • NPI 1013959238
  NPD (past)
• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1760428585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24800 HIGHPOINT RD",
            "address_2": "SUITE B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226041",
            "telephone_number": "216-831-6611",
            "fax_number": "216-831-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD",
            "address_2": "SUITE 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705345",
            "telephone_number": "440-614-2520",
            "fax_number": "440-614-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBEN",
        "first_name": "ELIZABETH",
        "middle_name": "KATHY",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "7204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gayowski
• Nancy Geideman, RPH
• Genna Gelfand, DDS
• Geocare, Inc.
• Katherine George
• Tenisha N/a Glass
• Goats Adult Day Support Inc
• Elena Gonzalez, CNP
• Aireonna Goodwin
• Shannon Marie Gorman

• Counselor in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.