Active NPI
Jared Kaiser, LPCC-S
- Professional Counselor
- Mason, OH
National Provider Identifier
1235482894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1100451-SUPV
- Practice address
- 4936 Old Irwin Simpson Rd
Mason, OH 45040-9751 - Phone
- (513) 649-7458
- NPI assigned
- Oct 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1100451 | OH | |
| Professional Counselor | 101YP2500X | E.1100451-SUPV | OH | Primary |
Addresses
Primary practice location
4936 Old Irwin Simpson Rd
Mason, OH 45040-9751
Mailing address
1879 Deerfield Rd
Lebanon, OH 45036-8602
Phone (513) 695-2726
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 |
|---|---|---|---|
| C.1100451 | OH | MD | Counselor |
| E.1100451-SUPV | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1235482894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 DEERFIELD RD",
"city": "LEBANON",
"state": "OH",
"postal_code": "450368602",
"telephone_number": "513-695-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4936 OLD IRWIN SIMPSON RD",
"city": "MASON",
"state": "OH",
"postal_code": "450409751",
"telephone_number": "513-649-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "JARED",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-19",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1100451",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1100451-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.