MS. MARILYN PAYNE KIMBREL (NPI# 1063595767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063595767 |
| Entity Type | Individual |
| Full Name | MS. MARILYN PAYNE KIMBREL |
| Credential | LPCC |
| Practice Address |
2400 Wales Ave Nw Suite K Massillon OH 44646-0804 |
| Practice Telephone | 3308332452 |
| Practice Fax Number | 3308332749 |
| Mailing Telephone | 3308332452 |
| Mailing Fax Number | 3308332749 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E2177 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2400 WALES AVE NW SUITE K |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-0804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014404 | Anita R Ta | Dentist | 2400 Wales Ave Nw, Ste B, Massillon, OH 44646-2366 | 2005-06-22 |
| 1205480886 | Stafford General Dentistry | Clinic/Center | 2400 Wales Ave Nw, Massillon, OH 44646-0804 | 2019-07-31 |
| 1982118758 | Gabrielle Barbara Dickerhoof | Family Medicine | 2400 Wales Ave Nw, Massillon, OH 44646-0804 | 2017-11-30 |
| 1669625281 | Dhia Hassani, M.d. | Pediatrics | 2400 Wales Ave Nw, Suite D, Massillon, OH 44646-0804 | 2008-10-28 |
| 1457562951 | Ronald J. Saxen, Dds, Inc. | Clinic/Center | 2400 Wales Ave Nw, Suite E, Massillon, OH 44646-0804 | 2007-05-25 |
| 1013034206 | Pediatric and Family Medicine Health Care Inc. | Clinic/Center | 2400 Wales Ave Nw, Suite C & D, Massillon, OH 44646-0804 | 2007-03-23 |
| 1104954288 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 2400 Wales Ave Nw, Suite H, Massillon, OH 44646-0804 | 2007-03-01 |
| 1629129499 | Mark Carlton Durkee | Dentist | 2400 Wales Ave Nw, Suite A, Massillon, OH 44646-0804 | 2007-01-16 |
| 1881651594 | Delia Marasigan Slaga | Legal Medicine | 2400 Wales Ave Nw, Suite C, Massillon, OH 44646-0804 | 2006-04-27 |
| 1831156579 | Dionisio C Marasigan | Legal Medicine | 2400 Wales Ave Nw, Suite D, Massillon, OH 44646-0804 | 2006-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860906 | Marvin Galen Ringer Jr. | Counselor | 8496 Kellydale St Nw, Massillon, OH 44646-1473 | 2018-05-02 |
| 1780004671 | Quest Recovery and Prevention Services, Inc. | Counselor | 46 Federal Ave Nw, Suite 1, Massillon, OH 44647-5401 | 2014-04-18 |
| 1396080628 | Trisha L Beck | Counselor | 2520 Wales Ave Nw Ste 100, Massillon, OH 44646-2398 | 2012-11-27 |
| 1760788459 | Traci Tsai | Counselor | 5555 Nettlecreek Ave Nw, Massillon, OH 44646-9528 | 2011-01-28 |
| 1457503534 | Tiffany Alisha Nickie-hull | Counselor | 3725 Tillman St Nw, Massillon, OH 44646-3227 | 2008-10-21 |
| 1851557979 | Kathleen Matheny Houston | Counselor | 7945 Portage St Nw, Massillon, OH 44646-7806 | 2008-07-29 |
| 1073503694 | Andrew C. J. Santora | Counselor | 1204 Stuart St Nw, Massillon, OH 44646-2210 | 2005-10-25 |
| 1922639327 | Sarina Wills | Counselor | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2020-02-04 |
| 1952964629 | Paxton Hodous | Counselor | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2019-04-18 |
| 1205301223 | Megan E Smith | Counselor | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2018-10-05 |
| Find all providers in MASSILLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.