Individual provider Active NPI

Keaha M Beckelhymer, LISW-S

  • Clinical Social Worker
  • Lebanon, OH
National Provider Identifier
1023535184
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102576 Issued in OH
Practice address
2460 Greentree Rd Ste E
Lebanon, OH 45036-9604
Phone
(513) 760-0867
Fax
(888) 253-8136
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 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.2102576 OH Primary

Addresses

Primary practice location

2460 Greentree Rd Ste E
Lebanon, OH 45036-9604

Mailing address

1579 Meadow View LN Ste A1
Lebanon, OH 45036-9290
Phone (513) 760-0867

Other practice location 1

757 Reading Rd Ste A1
Mason, OH 45040-1340
Phone (513) 760-0867

Other identifiers 1

IdentifierTypeStateIssuer
0288573MedicaidOH

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
I20241106003461 OH Practitioner - Clinical Social Worker 8628502150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2102576OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 20, 2024 Accepting new patients
Steel Magnolia Trauma Counseling LLC Clinical Current Accepting new patients

Locations

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

2460 Greentree Rd
Ste E
Lebanon, OH 45036
Phone (513) 760-0867

757 Reading Rd
Ste A1
Mason, OH 45040
Phone (513) 760-0867

Organizations & group practices 2

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1023535184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 MEADOW VIEW LN STE A1",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369290",
            "telephone_number": "513-760-0867",
            "fax_number": "888-253-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 GREENTREE RD STE E",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369604",
            "telephone_number": "513-760-0867",
            "fax_number": "888-253-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Reading Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450401340",
            "country_code": "US",
            "telephone_number": "513-760-0867",
            "fax_number": "888-253-8136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKELHYMER",
        "first_name": "KEAHA",
        "middle_name": "M",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288573",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.