KIMBERLY A PODRATZ LPCC NPI 1417273400

NPI Information

NPI: 1417273400
Provider Name: KIMBERLY A PODRATZ, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
352 CENTER STREET
SUITE 218
MIAMIVILLE, OH
ZIP 45147
Phone: (513) 722-5694
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Kimberly A Podratz, LPCC is a professional counselor in Miamiville, OH. Kimberly A Podratz, LPCC NPI is 1417273400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

352 CENTER STREET
SUITE 218
MIAMIVILLE, OH
ZIP 45147-218
Phone: (513) 722-5694

The enumeration date for this NPI number is 4/15/2010 and was last updated on 1/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	E. 0700354	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13555758	OTHER	OHIO	CAQH
2	0205690	MEDICAID	OHIO
3	813780626	OTHER	OHIO	TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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