Active NPI
Kailie N Mitchell
- Addiction (Substance Use Disorder) Counselor
- Norwalk, OH
National Provider Identifier
1053297879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.193187
- Practice address
- 177 Milan Ave
Norwalk, OH 44857-1131 - Phone
- (567) 743-7199
- NPI assigned
- Aug 15, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.193187 | OH | Primary |
Addresses
Primary practice location
177 Milan Ave
Norwalk, OH 44857-1131
Mailing address
135 Park Ave Apt 25
Plymouth, OH 44865-1239
Phone (419) 554-4066
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.193187 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1053297879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 PARK AVE APT 25",
"city": "PLYMOUTH",
"state": "OH",
"postal_code": "448651239",
"telephone_number": "419-554-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 MILAN AVE",
"city": "NORWALK",
"state": "OH",
"postal_code": "448571131",
"telephone_number": "567-743-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "KAILIE",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-15",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.193187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.