Ms Kimberly Evette Hearon, - Counselor in Portage, IN

Ms Kimberly Evette Hearon, is a Counselor - Addiction (substance Use Disorder) based in Portage, Indiana. Ms Kimberly Evette Hearon is licensed to practice in Indiana (license number 87000043A) and her current practice location is 5971 Winchester Pl, Portage, Indiana. She can be reached at her office (for appointments etc.) via phone at (219) 201-0716.

NPI number for Ms Kimberly Evette Hearon is 1003537515 and her current mailing address is 5971 Winchester Pl, Portage, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003537515.

Contact Information

Ms Kimberly Evette Hearon,
5971 Winchester Pl,
Portage, IN 46368-4915
(219) 201-0716
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Kimberly Evette Hearon
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5971 Winchester Pl, Portage, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003537515
  • Provider Enumeration Date: 09/05/2022
  • Last Update Date: 09/05/2022

Medical Identifiers

Medical identifiers for Ms Kimberly Evette Hearon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003537515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 87000043A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kimberly Evette Hearon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kimberly Evette Hearon,
5971 Winchester Pl,
Portage, IN 46368-4915

Ph: (219) 201-0716
Ms Kimberly Evette Hearon,
5971 Winchester Pl,
Portage, IN 46368-4915

Ph: (219) 201-0716

Reviews and Comments


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