Organization Active NPI

Susan Kralich

  • Community/Behavioral Health Agency
  • Kettering, OH
National Provider Identifier
1124410089
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
E.1000162 Issued in OH
Legal business name
SUSAN KRALICH
Practice address
3221 Ridgeview Ave
Kettering, OH 45409-1156
Phone
(937) 776-6428
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Susan Kralich, LPCC
Title
Licensed Professional Clinical Coun
Phone
(937) 776-6428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X E.1000162 OH Primary

Addresses

Primary practice location

3221 Ridgeview Ave
Kettering, OH 45409-1156

Mailing address

3221 Ridgeview Ave
Kettering, OH 45409-1156
Phone (937) 776-6428

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1124410089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 RIDGEVIEW AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091156",
            "telephone_number": "937-776-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 RIDGEVIEW AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091156",
            "telephone_number": "937-776-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN KRALICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "KRALICH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL CLINICAL COUN",
        "authorized_official_telephone_number": "937-776-6428",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "E.1000162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.