Individual provider Active NPI

Kelsey Mayrhofer Kenter, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Liberty Township, OH
National Provider Identifier
1003282831
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.12241 Issued in OH
Practice address
7055 Dutchland Pkwy
Liberty Township, OH 45044-9042
Phone
(513) 777-4420
Fax
(513) 777-7950
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND. 2015296 OH
Speech-Language Pathologist 235Z00000X SP.12241 OH Primary

Addresses

Primary practice location

7055 Dutchland Pkwy
Liberty Township, OH 45044-9042

Mailing address

7055 Dutchland Pkwy
Liberty Township, OH 45044-9042
Phone (513) 777-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
COND. 2015296OHMDSpeech-Language Pathologist
SP.12241OHMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1003282831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 DUTCHLAND PKWY",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449042",
            "telephone_number": "513-777-4420",
            "fax_number": "513-777-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 DUTCHLAND PKWY",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449042",
            "telephone_number": "513-777-4420",
            "fax_number": "513-777-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTER",
        "first_name": "KELSEY",
        "middle_name": "MAYRHOFER",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND. 2015296",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.