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Kimberly Sue Ross , CDCA

Peer Specialist β€’ Hamilton, OH

Active NPI 1770076200 Individual Practitioner Female Practitioner
Practice location in NPPES

1034 Woodbine Rd
Hamilton, OH 450134322

Call 5136050785 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1034 Woodbine Rd

Hamilton, OH 450134322

Telephone 5136050785

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hamilton and Ohio

20 active clinicians are listed under Peer Specialist with a practice address in Hamilton, OH (3,082 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hamilton

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH APS.000217

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH 140027
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 07, 2025

Registered at 1034 WOODBINE RD, HAMILTON, OH 450134322 (Tel: 5136050785)

πŸ“
Updated Business Mailing Address August 07, 2025

Registered at 1034 WOODBINE RD, HAMILTON, OH 450134322 (Tel: 5136050785)

βœ…
NPI Profile Active June 09, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2018

Registered at 2005 CENTRAL AVE, MIDDLETOWN, OH 450444403 (Tel: 5137271438)

πŸ“
Business Mailing Address (Initial Record) June 09, 2018

Registered at 2005 CENTRAL AVE, MIDDLETOWN, OH 450444403 (Tel: 5137271438)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2018

Recorded as KIMBERLY ROSS, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2018

Counselor (license number reported to NPPES: OH 140027)

🟒
Initial NPI Registration & Enumeration June 09, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770076200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2018
Last Update: August 07, 2025
Sole Proprietor: No

Mailing Address

1034 Woodbine Rd

Hamilton, OH 450134322

Phone: 5136050785

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.