Individual provider Active NPI

Katherine Stoll, LPC-CR, CDCA 1

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1033590914
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1300701 Issued in OH
Practice address
700 W Pete Rose Way
Suite 349
Cincinnati, OH 45203-1892
Phone
(513) 834-7050
Fax
(513) 834-7052
NPI assigned
Jun 16, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.150120-PRE OH
Mental Health Counselor 101YM0800X C.1300701 OH Primary

Addresses

Primary practice location

700 W Pete Rose Way
Suite 349
Cincinnati, OH 45203-1892

Mailing address

700 W Pete Rose Way
Suite 349
Cincinnati, OH 45203-1892
Phone (513) 834-7050

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
CDCA.150120-PREOHMDAddiction (Substance Use Disorder) Counselor
C.1300701OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Declare Therapy Center, Inc. Mental Health PastSince Jul 24, 2022 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, 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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1033590914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W PETE ROSE WAY",
            "address_2": "SUITE 349",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031892",
            "telephone_number": "513-834-7050",
            "fax_number": "513-834-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W PETE ROSE WAY",
            "address_2": "SUITE 349",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031892",
            "telephone_number": "513-834-7050",
            "fax_number": "513-834-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "KATHERINE",
        "credential": "LPC-CR, CDCA 1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.150120-PRE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1300701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.