Individual provider Active NPI

Ashley Kathleen Kimble, LMHC

  • Mental Health Counselor
  • Corning, NY
National Provider Identifier
1871107524
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
114 Chestnut St.
Corning, NY 14830-0000
Phone
(607) 937-6201
Fax
(607) 937-5553
NPI assigned
Sep 1, 2020
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

114 Chestnut St.
Corning, NY 14830-0000

Mailing address

115 Liberty St.
Bath, NY 14810-1508
Phone (607) 664-2255

Other names 1

  • Ms. Ashley Kathleen Morey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409002594 NY Practitioner - Mental Health Counselor 0749628832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014358NYMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Steuben CurrentSince Jan 26, 2024 Accepting new patients
County of Steuben Mental Health CurrentSince Jan 26, 2024 Accepting new patients

Locations

115 Liberty St
Bath, NY 14810
Phone (607) 664-2156

3 E Pulteney Sq
Bath, NY 14810
Phone (607) 664-2255

114 Chestnut St
Corning, NY 14830
Phone 60766422554066

Interoperability endpoints

  • Direct secure messaging: ashley.kimble@489656322949124.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1871107524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LIBERTY ST.",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101508",
            "telephone_number": "607-664-2255",
            "fax_number": "607-664-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CHESTNUT ST.",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148300000",
            "telephone_number": "607-937-6201",
            "fax_number": "607-937-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "ASHLEY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-04-03",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MOREY",
            "middle_name": "KATHLEEN",
            "prefix": "MS.",
            "credential": "LP-MHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.