Individual provider Active NPI

Kaitlin Rinehart, L.S.W, LCDC III

  • Clinical Social Worker
  • Newark, OH
National Provider Identifier
1205378189
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002184-SUPV Issued in OH
Practice address
68 W Church St Ste 204
Newark, OH 43055-5050
Phone
(614) 758-3567
Fax
(614) 540-3645
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161668 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 141240 OH
Clinical Social Worker 1041C0700X S1450917 OH
Clinical Social Worker 1041C0700X I.2002184-SUPV OH Primary

Addresses

Primary practice location

68 W Church St Ste 204
Newark, OH 43055-5050

Mailing address

68 W Church St Ste 204
Newark, OH 43055-5050
Phone (614) 758-3567

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
I20220906001489 OH Practitioner - Clinical Social Worker 1052795325 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
141240OHMDAddiction (Substance Use Disorder) Counselor
LICDC.161668OHMDAddiction (Substance Use Disorder) Counselor
S1450917OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Psychological Services LLC CurrentSince May 5, 2022 Accepting new patients
Resilient Minds Counseling, LLC Clinical CurrentSince Sep 13, 2025 Accepting new patients

Locations

575 Industrial Pkwy
Heath, OH 43056
Phone (740) 618-8388

14 N Park Pl
Newark, OH 43055
Phone (330) 353-8395

68 W Church St
Ste 204
Newark, OH 43055
Phone (614) 758-3567

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1205378189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 W CHURCH ST STE 204",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555050",
            "telephone_number": "614-758-3567",
            "fax_number": "614-540-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W CHURCH ST STE 204",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555050",
            "telephone_number": "614-758-3567",
            "fax_number": "614-540-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINEHART",
        "first_name": "KAITLIN",
        "credential": "L.S.W, LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161668",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "141240",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1450917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002184-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.