Individual provider Active NPI

Khaliah Labelle Cole

  • Counselor
  • Dayton, OH
National Provider Identifier
1114657632
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
4656 Midway Ave
Dayton, OH 45417-1354
Phone
(937) 856-3831
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

4656 Midway Ave
Dayton, OH 45417-1354

Mailing address

4656 Midway Ave
Dayton, OH 45417-1354
Phone (937) 856-3831

Other practice location 1

4656 Midway Ave
Dayton, OH 45417-1354
Phone (937) 856-3831

Other identifiers 1

IdentifierTypeStateIssuer
0486045MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Khaliahcole32@yahoo.com

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

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1114657632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 MIDWAY AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454171354",
            "telephone_number": "937-856-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 MIDWAY AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454171354",
            "telephone_number": "937-856-3831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4656 Midway Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454171354",
            "country_code": "US",
            "telephone_number": "937-856-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "KHALIAH",
        "middle_name": "LABELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486045",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Khaliahcole32@yahoo.com",
            "affiliation": "N",
            "address_1": "4656 Midway Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454171354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.