Active NPI
Kimberly Joy Hoskin
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1780237172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 173882.CDCA
- Practice address
- 1227 Ansel Rd
Cleveland, OH 44108-3323 - Phone
- (440) 719-9911
- NPI assigned
- Jul 24, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | 001205 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 173882.CDCA | OH | Primary |
Addresses
Primary practice location
1227 Ansel Rd
Cleveland, OH 44108-3323
Mailing address
1320 Washington Ave
Cleveland, OH 44113-2333
Phone (216) 781-0550
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 |
|---|---|---|---|
| 173882.CDCA | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 001205 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1780237172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 WASHINGTON AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441132333",
"telephone_number": "216-781-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 ANSEL RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441083323",
"telephone_number": "440-719-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSKIN",
"first_name": "KIMBERLY",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2022-12-29",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "001205",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "173882.CDCA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
- Aaron P Hoschar, M.D.
- Christine Hoscheit, M.D.
- Matthew Joseph Hoscheit, M.D.
- Mario Hosea
- Malcolm Hoshi, M.D., PH.D.
- Lansing Crowninshield Hoskins, M.D.
- Hospice of the Western Reserve at University Hospitals, LLC
- Hospice of the Western Reserve, Inc.
- Hospice of the Western Reserve, Inc.
- Maisha Hossain, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.