Individual provider Active NPI

Kelly Smith-Trondle, PCC

  • Professional Counselor
  • Walnut Hills, OH
National Provider Identifier
1134672041
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0700097 Issued in OH
Practice address
1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone
(513) 354-7323
NPI assigned
Jul 27, 2016
Last updated
Jul 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0700097 OH Primary

Addresses

Primary practice location

1501 Madison Rd
Walnut Hills, OH 45206-1706

Mailing address

8409 Burns Ave
Cincinnati, OH 45216-1105
Phone (513) 761-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20250408002903 OH Practitioner - Mental Health Counselor 2163946476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0700097OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Center of Hamilton County, Inc CurrentSince Jan 30, 2025 Accepting new patients

Locations

2340 Auburn Ave
Cincinnati, OH 45219
Phone (513) 241-1411

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1134672041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 BURNS AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452161105",
            "telephone_number": "513-761-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-TRONDLE",
        "first_name": "KELLY",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0700097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Hills, OH

Sources for this page

Verify at the official NPI Registry.