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MRS. KIMBERLY A PORTANOVA
NPI 1326474610
Counselor - Mental Health in Clarks Summit, PA

Active since September 19, 2013PECOS Enrolled
104 GRANDVIEW ST, CLARKS SUMMIT, PA 18411(570) 878-8636 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 24, 2025, Jan 6, 2025 (2 updates tracked since 2025).

About Mrs. Kimberly A Portanova NPPES

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

MRS. KIMBERLY A PORTANOVA (NPI 1326474610) is an individual mental health provider in Clarks Summit, Pennsylvania, licensed in Pennsylvania (PC008071) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326474610
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KIMBERLY A PORTANOVA
Location Address104 GRANDVIEW STClarks Summit, PA 18411-2010
Mailing Address104 Grandview StClarks Summit, PA 18411-2010 · (570) 878-8636
Phone(570) 878-8636
Sole ProprietorYes
Enumeration DateSeptember 19, 2013
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1326474610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · PC008071
104 GRANDVIEW ST, Clarks Summit, PA 18411
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly A Portanova is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Portanova's NPI number?

The NPI number for Kimberly Portanova is 1326474610. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Where is Kimberly Portanova located?

Kimberly Portanova practices at 104 Grandview St, Clarks Summit, PA 18411. The listed phone number is (570) 878-8636.

What is Kimberly Portanova's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Portanova enrolled in Medicare?

Yes. Kimberly Portanova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Portanova was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.