MS. KIMBERLY EVETTE HEARON
NPI 1003537515
Counselor - Addiction (Substance Use Disorder) in Portage, IN

Q: What is Kimberly Hearon's NPI number?

The NPI number for Kimberly Hearon is 1003537515. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Q: What is Kimberly Hearon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Hearon was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2022

5971 WINCHESTER PL, PORTAGE, IN 46368(219) 201-0716 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kimberly Evette Hearon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY EVETTE HEARON (NPI 1003537515) is an individual addiction (substance use disorder) provider in Portage, Indiana, licensed in Indiana (87000043A) and active in the NPI registry since September 2022. She maintains a secondary practice location in Merrillville.

NPPES Registry Identity

NPI1003537515

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. KIMBERLY EVETTE HEARON

Location Address5971 WINCHESTER PLPortage, IN 46368-4915

Mailing Address5971 Winchester PlPortage, IN 46368-4915 · (219) 201-0716

Phone(219) 201-0716

Sole ProprietorYes

Enumeration DateSeptember 5, 2022

NPPES CertifiedSeptember 4, 2022

✔ NPI 1003537515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IN · 87000043A

5971 WINCHESTER PL, Portage, IN 46368

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Secondary Practice Location 1

Location 1521 E 86th Ave Ste HMerrillville, IN 46410-6236 · Phone (219) 323-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Hearon's NPI number?

The NPI number for Kimberly Hearon is 1003537515. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Kimberly Hearon located?

Kimberly Hearon practices at 5971 Winchester Pl, Portage, IN 46368. The listed phone number is (219) 201-0716.

What is Kimberly Hearon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kimberly Hearon was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.