MS. KIMBERLY RENEE' FORD LCMHC LPC LCAS-A NPI 1881010635

NPI Information

  • NPI: 1881010635
  • Provider Name: MS. KIMBERLY RENEE' FORD, LCMHC, LPC, LCAS-A
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 175 KIMEL PARK DR STE 100
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 718-3550

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NPI Details

MS. Kimberly Renee' Ford, LCMHC, LPC, LCAS-A is a mental health counselor in Winston Salem, NC. MS. Kimberly Renee' Ford, LCMHC, LPC, LCAS-A NPI is 1881010635. 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:

175 KIMEL PARK DR STE 100
WINSTON SALEM, NC
ZIP 27103-951
Phone: (336) 718-3550
Fax: (336) 277-1825

The NPI 1881010635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/17/2014 and was last updated on 4/19/2024.

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
1101YM0800XCounselorMental Health9273NORTH CAROLINAYes
2101YP2500XCounselorProfessional9273NORTH CAROLINANo
3101YA0400XCounselorAddiction (Substance Use Disorder)3547NORTH CAROLINANo

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: 3/30/2025

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