Active NPI
Kim Penfound
- Mental Health Counselor
- Dublin, OH
National Provider Identifier
1952761629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2102524-SUPV
- Practice address
- 5995 Wilcox PL Ste D
Dublin, OH 43016-9267 - Phone
- (614) 205-3306
- NPI assigned
- Feb 24, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.2102524-SUPV | Primary | |
| School Social Worker | 1041S0200X | OH3053722 | OH | |
| Professional Counselor | 101YP2500X | E.2102524 | OH |
Addresses
Primary practice location
5995 Wilcox PL Ste D
Dublin, OH 43016-9267
Mailing address
5995 Wilcox PL Ste D
Dublin, OH 43016-9267
Phone (614) 205-3306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109002171 | OH | Practitioner - Mental Health Counselor | 7416308978 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2102524 | OH | MD | Professional Counselor |
| OH3053722 | OH | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1952761629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5995 WILCOX PL STE D",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430169267",
"telephone_number": "614-205-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5995 WILCOX PL STE D",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430169267",
"telephone_number": "614-205-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENFOUND",
"first_name": "KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "E.2102524-SUPV",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "OH",
"license": "OH3053722",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2102524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.