Individual provider Active NPI

Michelle M. Kepford, L.S.W.

  • Social Worker
  • Toledo, OH
National Provider Identifier
1164648788
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S 0018698 Issued in OH
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

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1437626587OtherOHANCHORED IN HOPE COUNSELING, LLC. GROUP NPI
0275683MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
S 0018698OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.