Individual provider Active NPI

Mariah J Kimbler

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1902587256
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.