Active NPI
Kaolene Ann Metzger, PCC-S, NCC
- Professional Counselor
- Louisville, OH
National Provider Identifier
1013215565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0700271
- Practice address
- 8666 Easton St
Louisville, OH 44641-8733 - Phone
- (330) 904-5103
- NPI assigned
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0700271 | OH | Primary |
Addresses
Primary practice location
8666 Easton St
Louisville, OH 44641-8733
Mailing address
8666 Easton St
Louisville, OH 44641-8733
Phone (330) 904-5103
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
| License | State | Type | Specialty |
|---|---|---|---|
| E0700271 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1013215565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8666 EASTON ST",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446418733",
"telephone_number": "330-904-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8666 EASTON ST",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446418733",
"telephone_number": "330-904-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZGER",
"first_name": "KAOLENE",
"middle_name": "ANN",
"credential": "PCC-S, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0700271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.