KIMBERLY REEDER NPI 1912414517

NPI Information

NPI: 1912414517
Provider Name: KIMBERLY REEDER
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1907 11TH ST
PORTSMOUTH, OH
ZIP 45662
Phone: (513) 941-4999
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Kimberly Reeder is an addiction (substance use disorder) counselor in Portsmouth, OH. Kimberly Reeder NPI is 1912414517. 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:

1907 11TH ST
PORTSMOUTH, OH
ZIP 45662-531
Phone: (513) 941-4999

The enumeration date for this NPI number is 1/4/2018 and was last updated on 9/7/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.163752	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCII.161708	OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.172440	OHIO	No
4	104100000X	Social Worker		W.1800091	OHIO	No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCIII.162243	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	0257132	MEDICAID	OHIO

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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