Kimberly Ann Dement, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0002828 Issued in OH

Practice address

102 Cattail Rd
Chillicothe, OH 45601-9404

Phone

(740) 702-2210

Fax

(740) 702-2213

NPI assigned

Mar 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

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

• Integrated Services for Behavioral Health

  • Clinical Social Worker
  • Nelsonville, OH
  • NPI 1073578431
  NPD (past)
• Integrated Services for Behavioral Health

  • Community/Behavioral Health Agency
  • Nelsonville, OH
  • NPI 1205196201
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1922469287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CATTAIL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019404",
            "telephone_number": "740-702-2210",
            "fax_number": "740-702-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CATTAIL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019404",
            "telephone_number": "740-702-2210",
            "fax_number": "740-702-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMENT",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "0002828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Marquez Dela Rosa, MA, CTRS
• Abel Piaoan Delacruz, PA
• Stephen A Delmoe II
• Laura Chodorow Demange, MSW, LISW-S
• Amber Dement, RN
• Stephen Edward Demick, M.D.
• Denee R Choice, MD Incorporated
• Casey Leigh Dennis
• Morgan Dennis, RN
• Department of Veterans Affairs

• Mental Health Counselor in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.