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Active NPI 1790990711 Individual Practitioner Female Practitioner

Kimberly J Harris , LPCC-S, LICDC

Counselor - Professional • Middletown, OH

✓ Accepts Medicare Assignment
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This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kimberly Harris, LPCC-S, LICDC is a registered Counselor - Professional practitioner in Middletown, OH. With approximately 33 years of clinical practice since completing medical education in 1993, Kimberly Harris provides healthcare services at the registered practice location at 4464 S DIXIE HWY.

Kimberly Harris is affiliated with Access Counseling Services Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4464 S Dixie Hwy

Middletown, OH 450055464

Telephone 5136498008
Fax 5136498004
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Middletown, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +14.9 yrs vs City Avg
City Avg: 18.1 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Middletown, OH (6923 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Harris (33 Years) 33 Yrs
Middletown Specialty Average (18.1 Years) 18.1 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0003482-SUPV

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH LICDC.001245

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OH E.0003482-SUPV

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Group Ptan
H130910 (OH)
Commercial Insurance / Payer ID Carf Certification
01-0693 (OH)
Commercial Insurance / Payer ID Medicaid-Odmh
0074946 (OH)
Commercial Insurance / Payer ID Medicaid-Odadas
0074861 (OH)
Commercial Insurance / Payer ID Nbcc
236088

Hospital & Practice Group Affiliations

Access Counseling Services Llc

4464 S Dixie Hwy, Middletown, OH 450055464

Phone: 5136498008

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lisa Igo , PCC LCDCIII

Counselor - Professional

NPI 1013209246

PCCLCDCIII

Dawnetta Chapman , CASE MANAGER, QMHS

Case Manager/Care Coordinator

NPI 1013420512

CASEMANAGER, QMHS

Jami Clarke

Social Worker

NPI 1013552975
Tara Stephen

Social Worker

NPI 1013881861
Joann Turner , LPCC

Counselor - Mental Health

NPI 1023319068

Licensed Professional Clinical Counselor

Thomas Tsueda

Registered Nurse

NPI 1023720059

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2017

Registered at 4464 S DIXIE HWY, MIDDLETOWN, OH 450055464 (Tel: 5136498008)

📍
Updated Business Mailing Address February 09, 2017

Registered at 4464 S DIXIE HWY, MIDDLETOWN, OH 450055464 (Tel: 5136498008)

👤
Provider Name / Credentials Updated February 09, 2017

Recorded as KIMBERLY HARRIS, LPCC-S, LICDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2017

Counselor (License #LICDC.001245 in OH)

NPI Profile Active July 31, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2012

Registered at 4464 S DIXIE HWY, MIDDLETOWN, OH 450055464 (Tel: 5136498008)

📍
Updated Business Mailing Address July 31, 2012

Registered at 4464 S DIXIE HWY, MIDDLETOWN, OH 450055464 (Tel: 5136498008)

👤
Provider Name / Credentials Updated July 31, 2012

Recorded as KIMBERLY HARRIS, LPCC-S, LICDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2012

Counselor (License #001245 in OH)

🟢
Initial NPI Registration & Enumeration May 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790990711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2007
Last Update: February 09, 2017
Sole Proprietor: No

Mailing Address

4464 S Dixie Hwy

Middletown, OH 450055464

Phone: 5136498008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.