Individual provider Active NPI

Kay Ente Ariel, LISW

  • Mental Health Counselor
  • Cleveland Heights, OH
National Provider Identifier
1063501963
Registry record updated Aug 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I-3066 Issued in OH
Practice address
2460 Fairmount Blvd
Suite 320
Cleveland Heights, OH 44106-3171
Phone
(440) 779-6708
Fax
(216) 231-7235
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I-3066 OH Primary

Addresses

Primary practice location

2460 Fairmount Blvd
Suite 320
Cleveland Heights, OH 44106-3171

Mailing address

2460 Fairmount Blvd
Suite 320
Cleveland Heights, OH 44106-3171
Phone (440) 779-6708

Other identifiers 1

IdentifierTypeStateIssuer
000000222058OtherOHBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2022 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-3066OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345248000000",
    "number": "1063501963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "address_2": "SUITE 320",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "440-779-6708",
            "fax_number": "216-231-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "address_2": "SUITE 320",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "440-779-6708",
            "fax_number": "216-231-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIEL",
        "first_name": "KAY",
        "middle_name": "ENTE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I-3066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000222058",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.