Active NPI
Kelsey Beil, LISW
- Clinical Social Worker
- Canal Winchester, OH
National Provider Identifier
1043712391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901509
- Practice address
- 34 West St
Canal Winchester, OH 43110-1038 - Phone
- (716) 322-5115
- NPI assigned
- Mar 2, 2018
- Last updated
- Sep 21, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S.1700286 | WA | |
| Clinical Social Worker | 1041C0700X | I.1901509 | OH | Primary |
Addresses
Primary practice location
34 West St
Canal Winchester, OH 43110-1038
Mailing address
34 West St
Canal Winchester, OH 43110-1038
Phone (716) 322-5115
Other practice location 1
1592 Granville Pike
Lancaster, OH 43130-1076
Phone (740) 687-0835
Other practice location 2
2652 Kull Rd
Lancaster, OH 43130-7707
Phone (740) 277-6733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0292433 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1700286 | WA | MD | Mental Health Counselor |
| I.1901509 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1043712391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 WEST ST",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431101038",
"telephone_number": "716-322-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 WEST ST",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431101038",
"telephone_number": "716-322-5115"
}
],
"practiceLocations": [
{
"address_1": "1592 Granville Pike",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "OH",
"postal_code": "431301076",
"country_code": "US",
"telephone_number": "740-687-0835",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2652 Kull Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "OH",
"postal_code": "431307707",
"country_code": "US",
"telephone_number": "740-277-6733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEIL",
"first_name": "KELSEY",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "S.1700286",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0292433",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.