Individual provider Active NPI

Kris S. Hausser, MSW, LISW-S

  • Clinical Social Worker
  • Whitehall, OH
National Provider Identifier
1205257078
Registry record updated Dec 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0029944 SUPV Issued in OH
Practice address
5310 E Main St Ste 102
Whitehall, OH 43213-2598
Phone
(614) 751-1090
NPI assigned
Dec 22, 2013
Last updated
Dec 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0029944 SUPV OH Primary

Addresses

Primary practice location

5310 E Main St Ste 102
Whitehall, OH 43213-2598

Mailing address

5310 E Main St Ste 102
Whitehall, OH 43213-2598
Phone (614) 751-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • 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
I20140429002081 OH Practitioner - Clinical Social Worker 0749413615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Counseling Services, LLCGroup PAC ID 2668533076, 5 clinicians

Practice addresses (Care Compare)

5310 E Main St
Suite 102
Columbus, OH 43213-2598
Phone (614) 751-1090

6877 N High St
Suite 305
Worthington, OH 43085-2589
Phone (614) 751-1090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0029944 SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Counseling Services, LLC CurrentSince Mar 8, 2014 Accepting new patients
Apexmeds Past Accepting new patients

Locations

5310 E Main St
Ste 102
Whitehall, OH 43213
Phone (614) 751-1090

Organizations & group practices 2

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": "1387670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387670400000",
    "number": "1205257078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E MAIN ST STE 102",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132598",
            "telephone_number": "614-751-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E MAIN ST STE 102",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132598",
            "telephone_number": "614-751-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSSER",
        "first_name": "KRIS",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-22",
        "last_updated": "2013-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0029944 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

Verify at the official NPI Registry.