Individual provider Active NPI

Kristina Reeder

  • Clinical Social Worker
  • Groveport, OH
National Provider Identifier
1013401363
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507295 Issued in OH
Practice address
6020 Groveport Rd
Groveport, OH 43125-1005
Phone
(614) 567-6274
Fax
(855) 604-0927
NPI assigned
Jun 20, 2018
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2507295 OH Primary

Addresses

Primary practice location

6020 Groveport Rd
Groveport, OH 43125-1005

Mailing address

211 S 5TH St
Columbus, OH 43215-5203
Phone (614) 567-6274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203001983 OH Practitioner - Clinical Social Worker 9032697784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Services for Behavioral HealthGroup PAC ID 9234372525, 39 clinicians

Practice addresses (Care Compare)

11 Graham Dr
Athens, OH 45701-1430
Phone (740) 594-6807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2105948OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Services for Behavioral Health Clinical CurrentSince Dec 27, 2025 Accepting new patients
Forward Health LLC PastSince Apr 1, 2024 Accepting new patients
Integrated Services for Behavioral Health PastSince Dec 27, 2025 Accepting new patients
Forward Health LLC PastSince Jun 1, 2021 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical Past Accepting new patients

Locations

11 Graham Dr
Athens, OH 45701
Phone (740) 594-6807

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1013401363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S 5TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155203",
            "telephone_number": "614-567-6274",
            "fax_number": "855-604-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 GROVEPORT RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251005",
            "telephone_number": "614-567-6274",
            "fax_number": "855-604-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "KRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

Verify at the official NPI Registry.