Active NPI
Kimberly Knapp, LPC
- Professional Counselor
- Fairfield, OH
National Provider Identifier
1871979443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1801523
- Practice address
- 1251 Nilles Rd Ste 5
Fairfield, OH 45014 - Phone
- (513) 939-0300
- Fax
- (513) 939-0310
- NPI assigned
- Aug 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178010046 | IL | |
| Professional Counselor | 101YP2500X | C.1801523 | OH | Primary |
Addresses
Primary practice location
1251 Nilles Rd Ste 5
Fairfield, OH 45014
Mailing address
1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300
Other practice location 1
4721 Reading Rd
Cincinnati, OH 45237
Phone (513) 482-7288
Other practice location 2
16405 Frontage Rd
Oak Forest, IL 60452-4611
Phone (708) 960-4023
Other practice location 3
1251 Nilles Rd Ste 5
Fairfield, OH 45014
Phone (513) 939-0300
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 |
|---|---|---|---|
| 178010046 | IL | MD | Professional Counselor |
| C.1801523 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1871979443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 NILLES RD STE 5",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147205",
"telephone_number": "513-939-0300",
"fax_number": "513-939-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 NILLES RD STE 5",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "45014",
"telephone_number": "513-939-0300",
"fax_number": "513-939-0310"
}
],
"practiceLocations": [
{
"address_1": "4721 Reading Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45237",
"country_code": "US",
"telephone_number": "513-482-7288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16405 Frontage Rd",
"address_purpose": "LOCATION",
"city": "Oak Forest",
"state": "IL",
"postal_code": "604524611",
"country_code": "US",
"telephone_number": "708-960-4023",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1251 Nilles Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "OH",
"postal_code": "45014",
"country_code": "US",
"telephone_number": "513-939-0300",
"fax_number": "513-939-0310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNAPP",
"first_name": "KIMBERLY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178010046",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1801523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.