KIMBERLY J HARRIS LPCC-S, LICDC
NPI 1790990711
Counselor - Professional in Middletown, OH
NPI Status: Active since May 12, 2007
Contact Information
4464 S DIXIE HWY
MIDDLETOWN, OH
ZIP 45005
Phone: (513) 649-8008
Fax: (513) 649-8004
- Individual
- Female
- Years of Experience 33
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KIMBERLY HARRIS
This page provides the complete NPI Profile along with additional information for Kimberly Harris, a provider established in Middletown, Ohio with a medical specialization in Counselor, focusing in professional and more than 33 years of experience. The healthcare provider is registered in the NPI registry with number 1790990711 assigned on May 2007. The practitioner's primary taxonomy code is 101YP2500X with license number E.0003482-SUPV (OH). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1790990711
- Provider Name
- KIMBERLY J HARRIS LPCC-S, LICDC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4464 S DIXIE HWY MIDDLETOWN, OH 45005
- Location Phone
- (513) 649-8008
- Location Fax
- (513) 649-8004
- Mailing Address
- 4464 S DIXIE HWY MIDDLETOWN, OH 45005
- Mailing Phone
- (513) 649-8008
- Mailing Fax
- (513) 649-8004
- Medical School Name
- OTHER
- Graduation Year
- 1993
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-12-2007
- Last Update Date
- 02-09-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- E.0003482-SUPV
- License State
- OH
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | LICDC.001245 (OH) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | E.0003482-SUPV (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0074946 | OTHER (01) | OH | MEDICAID-ODMH |
| 0074861 | OTHER (01) | OH | MEDICAID-ODADAS |
| 236088 | OTHER (01) | NBCC | |
| 01-0693 | OTHER (01) | OH | CARF CERTIFICATION |
| H130910 | OTHER (01) | OH | MEDICARE GROUP PTAN |
Medicare Participation & PECOS Enrollment Status
Kimberly Harris is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kimberly Harris is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 244682458
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240123002790
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for KIMBERLY J HARRIS LPCC-S, LICDC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 9 | 9 | 0 | 7 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 18 | 9 | 0 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 8 + 9 + 0 + 7 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1790990711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184832750 | ANDREA C RIBIER M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1497771117 | CARLOS KENNETH CHENG M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1851517015 | MS. ANNA JANETTE CONATY LISW, ATR Individual | Social Worker (Clinical) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1245564095 | DR. RACHEL MICHELLE CASH M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4464 S DIXIE HWY DEPARTMENT OF PSYCHIATRY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1679526321 | BRANDY J SLAVENS BS, LSW, LCDCIII Individual | Social Worker | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1225068448 | JUDITH ANN FREELAND M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1083648562 | MRS. DEBRA L. COTTER LSW, LPCC-S, LICDC Individual | Counselor (Professional) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1467679183 | MRS. TERESA A PAUL LPCC-S Individual | Counselor (Professional) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1700070844 | MS. LESLIE HANNAH BRODY LISW-S, LICDC Individual | Social Worker (Clinical) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1285820001 | ROKEYA TASNIN MD Individual | Psychiatry & Neurology (Psychiatry) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1811173586 | SARAH T. A. HUTCHINSON MA, LPCC-S, LICDC Individual | Counselor (Professional) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1205160942 | MR. HARRY F LOVE LPCC-S Individual | Counselor (Professional) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1023319068 | JOANN T TURNER LPCC Individual | Counselor (Mental Health) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1881993608 | BRITTANY KAYE BARNES LPN Individual | Licensed Practical Nurse | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1205129640 | SUZANNE MICHELE CHANDLER LISW-S Individual | Social Worker (Clinical) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1952697245 | DARYL J HAMS R.N. Individual | Registered Nurse (Psychiatric/Mental Health) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1790058493 | MRS. CORINNE M PEARSON MS, LPCC Individual | Counselor (Mental Health) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1902151673 | JOSEPH R ALLEN LPCC, LICDC Individual | Counselor (Mental Health) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1922426287 | DEBORAH WELLS LSW Individual | Counselor (Mental Health) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
| 1578969846 | MYLINDA K LAWSON LPCC-S, CDCA Individual | Counselor (Professional) | 4464 S DIXIE HWY MIDDLETOWN, OH 45005 (513) 649-8008 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790990711, enumerated in the NPI registry as an "individual" on May 12, 2007
The provider is located at 4464 S Dixie Hwy Middletown, Oh 45005 and the phone number is (513) 649-8008
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider has more than 33 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on May 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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