Individual provider Active NPI

Julie Krieg

  • Clinical Social Worker
  • Celina, OH
National Provider Identifier
1275770091
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0900198 Issued in OH
Practice address
4761 State Route 29
Celina, OH 45822-8216
Phone
(419) 584-1000
Fax
(419) 584-1825
NPI assigned
Jan 15, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S0600425 OH
Clinical Social Worker 1041C0700X I0900198 OH Primary

Addresses

Primary practice location

4761 State Route 29
Celina, OH 45822-8216

Mailing address

4761 State Route 29
Celina, OH 45822-8216
Phone (419) 584-1000

Other practice location 1

275 W Schrock Rd
Westerville, OH 43081-2874
Phone (614) 355-8330

Other identifiers 1

IdentifierTypeStateIssuer
08258MedicaidOH

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
I20160608002424 OH Practitioner - Clinical Social Worker 7517257207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0900198OHMDClinical Social Worker
S0600425OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Professional Counseling Associates LLC CurrentSince Oct 1, 2024 Accepting new patients
Renew Counseling and Consultation LLC Past Accepting new patients

Locations

110 W Mechanic St
Ste 205
Wapakoneta, OH 45895
Phone (419) 738-8333

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275770091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 STATE ROUTE 29",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458228216",
            "telephone_number": "419-584-1000",
            "fax_number": "419-584-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 STATE ROUTE 29",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458228216",
            "telephone_number": "419-584-1000",
            "fax_number": "419-584-1825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812874",
            "country_code": "US",
            "telephone_number": "614-355-8330",
            "fax_number": "614-355-8301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIEG",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0600425",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0900198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.