NPIMap

Steve Albert Kimmey II, B.S.

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Waynesboro, PA

NPI 1962861674 · NPPES record last updated Feb 23, 2016

Key facts

NPI
1962861674
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
RI-K1407011200 (CA)
Practice address
1663 E Main St
Waynesboro, PA 17268-1874
Phone
(717) 473-4980
Fax
(717) 473-4978
NPI assigned
Feb 23, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
RI-K1407011200CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dohi Center for Well-Being Addiction (Substance Use Disorder) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RI-K1407011200 CA Yes

Addresses

Primary practice location

1663 E Main St
Waynesboro, PA 17268-1874

Mailing address

1663 E Main St
Waynesboro, PA 17268-1874
Phone (717) 473-4980

Other providers in Waynesboro, PA

All providers in Waynesboro, PA · Addiction (Substance Use Disorder) Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.