Active NPI
Kara Reilly, LSW, LICDC, RN, APRN
- Psychiatric/Mental Health Nurse Practitioner
- North Olmsted, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.022864
- Practice address
- 4466 Ranchview Ave
North Olmsted, OH 44070-2744 - Phone
- (419) 376-2179
- NPI assigned
- Sep 7, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.434430 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.022864 | OH | Primary |
Addresses
Primary practice location
4466 Ranchview Ave
North Olmsted, OH 44070-2744
Mailing address
4466 Ranchview Ave
North Olmsted, OH 44070-2744
Phone (419) 376-2179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.434430 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current | Accepting new patients | |
| Family Service League, Inc. | Current | Accepting new patients | |
| Wings of Nature Mental Health Care LLC | Current | Accepting new patients | |
| Access Ohio, LLC | Current | Accepting new patients | |
| Access Ohio, LLC | Current | Accepting new patients | |
| Haely Chiropractic, Inc. | Past | Accepting new patients |
Locations
790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700
7555 Main Rd
Mattituck, NY 11952
Phone (631) 298-1678
4725 Parkwick Dr
Ste 100
Columbus, OH 43228
Phone (614) 655-3354
6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700
6400 E Broad St
Columbus, OH 43213
Phone (614) 367-7700
8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
Interoperability endpoints
- comprehensiveminds.karareilly@147239.advancedmd-direct.com
Organizations & group practices 6
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
- Columbus, OH
- NPI 1689763740
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
-
- Community/Behavioral Health Agency
- Huntington, NY
- NPI 1528093242
-
- Adult Mental Health Clinic/Center
- North Olmsted, OH
- NPI 1578317756
-
- Chiropractor
- Broadview HTS, OH
- NPI 1891916797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1235657420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4466 RANCHVIEW AVE",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440702744",
"telephone_number": "419-376-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4466 RANCHVIEW AVE",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440702744",
"telephone_number": "419-376-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "KARA",
"credential": "LSW, LICDC, RN, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.434430",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.022864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Olmsted, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.