Kristen Elizabeth Ayers – Counselor in Bainbridge, OH

Key facts

NPI: 1154946028
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
Practice address: 4413 Greenbriar Rd
Bainbridge, OH 45612-9649
Phone: (614) 582-6060
NPI assigned: Jun 16, 2020
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Mind Trek Counseling LLC Clinical Social Worker · Cleveland Heights, OH · NPI 1467035097

Medicare reassignment Care Compare group OH

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Mind Trek Counseling LLC (2 clinicians)

Practice addresses (Care Compare)

2460 Fairmount Blvd
Suite 209
Cleveland Heights, OH 44106-3125
Phone (216) 777-9587

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20201112002559	OH	Practitioner - Clinical Social Worker	2668882069	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X			Yes

Addresses

Primary practice location

4413 Greenbriar Rd
Bainbridge, OH 45612-9649

Mailing address

4413 Greenbriar Rd
Bainbridge, OH 45612-9649
Phone (614) 582-6060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2020.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1154946028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 GREENBRIAR RD",
            "city": "BAINBRIDGE",
            "state": "OH",
            "postal_code": "456129649",
            "telephone_number": "614-582-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 GREENBRIAR RD",
            "city": "BAINBRIDGE",
            "state": "OH",
            "postal_code": "456129649",
            "telephone_number": "614-582-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, OH

All providers in Bainbridge, OH · Counselor in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.