Active NPI
Michelle M. Kepford, L.S.W.
- Social Worker
- Toledo, OH
National Provider Identifier
1164648788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S 0018698
- Practice address
- 5331 Bennett Rd
Toledo, OH 43612-3403 - Phone
- (419) 478-3037
- Fax
- (419) 478-1671
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S 0018698 | OH | Primary |
Addresses
Primary practice location
5331 Bennett Rd
Toledo, OH 43612-3403
Mailing address
5331 Bennett Rd
Toledo, OH 43612-3403
Phone (419) 478-3037
Other practice location 1
1910 Indian Wood Cir Ste 100
Maumee, OH 43537-4029
Phone (419) 491-0420
Other practice location 2
1627 Henthorne Dr Ste C
Maumee, OH 43537-1370
Phone (419) 491-0420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437626587 | Other | OH | ANCHORED IN HOPE COUNSELING, LLC. GROUP NPI |
| 0275683 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shelly@anchoredinhopecounseling.org | Anchored in Hope Counseling, LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S 0018698 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1295096758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1164648788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5331 BENNETT RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436123403",
"telephone_number": "419-478-3037",
"fax_number": "419-478-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5331 BENNETT RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436123403",
"telephone_number": "419-478-3037",
"fax_number": "419-478-1671"
}
],
"practiceLocations": [
{
"address_1": "1910 Indian Wood Cir Ste 100",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435374029",
"country_code": "US",
"telephone_number": "419-491-0420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1627 Henthorne Dr Ste C",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435371370",
"country_code": "US",
"telephone_number": "419-491-0420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEPFORD",
"first_name": "MICHELLE",
"middle_name": "M.",
"credential": "L.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S 0018698",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCHORED IN HOPE COUNSELING, LLC. GROUP NPI",
"identifier": "1437626587",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0275683",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shelly@anchoredinhopecounseling.org",
"affiliation": "Y",
"affiliationName": "Anchored in Hope Counseling, LLC",
"address_1": "1627 Henthorne Dr Ste C",
"city": "Maumee",
"state": "OH",
"country_code": "US",
"postal_code": "435371370",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.