Individual provider Active NPI

Heather L Kelso, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Marion, OH
National Provider Identifier
1134875941
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
186253 Issued in OH
Practice address
333 E Center St Ste 301
Marion, OH 43302-4142
Phone
(740) 796-8835
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X 186253 OH Primary

Addresses

Primary practice location

333 E Center St Ste 301
Marion, OH 43302-4142

Mailing address

333 E Center St Ste 301
Marion, OH 43302-4142
Phone (740) 796-8835

Other practice location 1

1856 Cedar Hill Rd
Lancaster, OH 43130-4178
Phone (740) 901-3049

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hkelso@rurecoveryinc.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

State licenses

LicenseStateTypeSpecialty
186253OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Recovery, Inc PastSince Feb 2, 2025 Accepting new patients
Rise Up Recovery, Inc Addiction (Substance Use Disorder) PastSince Feb 2, 2025 Accepting new patients
Knox Recovery LLC Addiction (Substance Use Disorder) PastSince Jan 1, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rurecoveryinc/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1134875941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CENTER ST STE 301",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024142",
            "telephone_number": "740-796-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CENTER ST STE 301",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024142",
            "telephone_number": "740-796-8835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1856 Cedar Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431304178",
            "country_code": "US",
            "telephone_number": "740-901-3049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELSO",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "186253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkelso@rurecoveryinc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "333 E Center St Ste 301",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433024142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.