KIMBERLY A FORD (LPCC-S, LICDC-CS, MA) – Addiction (Substance Use Disorder) Counselor, NPI 1679742092
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 MENTAL HEALTH COUNSELOR in OH
Provider Addresses for KIMBERLY A FORD (LPCC-S, LICDC-CS, MA)
30697 KING RD
SALEM, OH 444609531
Phone: (330) 853-6523
Fax: (330) 453-6716
Type: Mailing
320 MARKET ST
STEUBENVILLE, OH 439522153
Phone: (740) 314-5339
Type: Location
1341, Market Avenue North, Vassar Park, Canton, Stark County, Ohio, 44714, United States
CANTON, OH 447142605
Phone: (330) 453-8252
Fax: (330) 453-6716
Type: Mailing
320 MARKET ST FL 3
STEUBENVILLE, OH 439522153
Phone: (740) 314-5339
Type: Location
333 W 4th St
Salem, OH 444602715
Phone: (740) 314-5339
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240419000390 | I | Mental Health Counselor | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44460)
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