Individual provider Active NPI

Kimberly Bell, LCMHC, MLADC

  • Mental Health Counselor
  • Conway, NH
National Provider Identifier
1922469493
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
90 Odell Hill Rd
Conway, NH 03818-4401
Phone
(603) 617-2119
Fax
(603) 617-2119
NPI assigned
Mar 11, 2016
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

90 Odell Hill Rd
Conway, NH 03818-4401

Mailing address

PO Box 86
Tamworth, NH 03886-0086
Phone (603) 617-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 5, 2024 through Mar 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2127NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Therapy, PLLC Addiction (Substance Use Disorder) CurrentSince Feb 1, 2023 Accepting new patients
Northern Human Services PastSince Jun 19, 1998 Accepting new patients

Locations

19 Barnes Ct
North Conway, NH 03860
Phone (612) 930-6608

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": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1922469493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "TAMWORTH",
            "state": "NH",
            "postal_code": "038860086",
            "telephone_number": "603-617-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ODELL HILL RD",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038184401",
            "telephone_number": "603-617-2119",
            "fax_number": "603-617-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "KIMBERLY",
        "credential": "LCMHC, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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 Conway, NH

Sources for this page

Verify at the official NPI Registry.