Individual provider Active NPI

Kurstie Bevelhymer-Rangel, MSW, LSW

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1003458241
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S.1904118 Issued in OH
Practice address
5354 N High St Ste 206
Columbus, OH 43214-1274
Phone
(614) 948-7300
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S.1904118 OH Primary

Addresses

Primary practice location

5354 N High St Ste 206
Columbus, OH 43214-1274

Mailing address

747 Logan Ave
Newark, OH 43055-6905

Other practice location 1

647 Park Meadow Rd Ste A
Westerville, OH 43081-2878
Phone (614) 898-0443

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

State licenses

LicenseStateTypeSpecialty
S.1904118OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clintonville Counseling and Wellness Mental Health PastSince Sep 13, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1003458241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 LOGAN AVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430556905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 N HIGH ST STE 206",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141274",
            "telephone_number": "614-948-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "647 Park Meadow Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812878",
            "country_code": "US",
            "telephone_number": "614-898-0443",
            "fax_number": "614-898-0128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVELHYMER-RANGEL",
        "first_name": "KURSTIE",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1904118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.