Individual provider Active NPI

Misti Kessler, LICDC, LPCC

  • Professional Counselor
  • New Lexington, OH
National Provider Identifier
1043725500
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303962 Issued in OH
Practice address
203 N Main St
New Lexington, OH 43764-1264
Phone
(740) 342-0616
Fax
(740) 342-2992
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 LICDC.162209 OH
Professional Counselor 101YP2500X E.2303962 OH Primary

Addresses

Primary practice location

203 N Main St
New Lexington, OH 43764-1264

Mailing address

221 N Main St
New Lexington, OH 43764-1264
Phone (740) 342-1991

Other names 1

  • Misti Stanley Former name

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
I20260403001795 OH Practitioner - Mental Health Counselor 2466937735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R F Rich-FidlerGroup PAC ID 3971049222, 3 clinicians

Practice addresses (Care Compare)

30811 Lake Logan Rd
Logan, OH 43138-9546
Phone (740) 603-6165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162209OHMDAddiction (Substance Use Disorder) Counselor
E.2303962OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Choices CurrentSince May 23, 2026 Accepting new patients

Locations

203 N Main St
New Lexington, OH 43764
Phone (740) 342-1991

221 N Main St
New Lexington, OH 43764
Phone (740) 342-1991

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1043725500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N MAIN ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641264",
            "telephone_number": "740-342-1991",
            "fax_number": "740-342-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641264",
            "telephone_number": "740-342-0616",
            "fax_number": "740-342-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "MISTI",
        "credential": "LICDC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162209",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTI",
            "last_name": "STANLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Lexington, OH

Sources for this page

Verify at the official NPI Registry.