Alexander Thomas Kimble, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

429 N Courtland St
East Stroudsburg, PA 18301-1906

Phone

(484) 225-4323

NPI assigned

Nov 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1851935530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FIELDCREST DR",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078282221",
            "telephone_number": "908-723-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N COURTLAND ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011906",
            "telephone_number": "484-225-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "ALEXANDER",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE NUMBER",
            "identifier": "44SL06438600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William T Kesselring Jr., MD
• Kira Kester
• Key to Health Chiropractic
• Hirut Kifle
• Thomas M. Kilareski, D.M.D., M.S.
• Kristina Amorese Kiner, OTR/L
• Shirley King, RN
• Rachel Ella Kinney, D.O,
• Scott K Kissell, D.P.M.
• Jessica Rae Klugh, AT

• Mental Health Counselor in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.