Active NPI
Mariah J Kimbler
- Mental Health Counselor
- Cincinnati, OH
National Provider Identifier
1902587256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3650 Muddy Creek Rd Ste 100
Cincinnati, OH 45238-2058 - Phone
- (513) 347-0375
- NPI assigned
- Jul 28, 2023
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | |||
| Surgical Assistant | 246ZC0007X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3650 Muddy Creek Rd Ste 100
Cincinnati, OH 45238-2058
Mailing address
622 Willow Springs Dr
Dayton, OH 45417-8940
Phone (937) 241-3537
Other practice location 1
622 Willow Springs Dr
Dayton, OH 45417-8940
Phone (937) 241-3537
Other practice location 2
3650 Muddy Creek Rd Ste 100
Cincinnati, OH 45238-2058
Phone (513) 347-0375
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1902587256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 WILLOW SPRINGS DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454178940",
"telephone_number": "937-241-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 MUDDY CREEK RD STE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382058",
"telephone_number": "513-347-0375"
}
],
"practiceLocations": [
{
"address_1": "622 Willow Springs Dr",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454178940",
"country_code": "US",
"telephone_number": "937-241-3537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3650 Muddy Creek Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452382058",
"country_code": "US",
"telephone_number": "513-347-0375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMBLER",
"first_name": "MARIAH",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.