Individual provider Active NPI

Adrianna Noelle Kayser

  • Addiction (Substance Use Disorder) Counselor
  • New Boston, OH
National Provider Identifier
1396203683
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.173288 Issued in OH
Practice address
4350 Gallia St
New Boston, OH 45662
Phone
(740) 354-6550
NPI assigned
Mar 6, 2019
Last updated
Apr 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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 CDCA.169910 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.173288 OH Primary
Mental Health Counselor 101YM0800X QMHS NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

4350 Gallia St
New Boston, OH 45662

Mailing address

923 Findlay St
Portsmouth, OH 45662-4148

Other practice location 1

1134 Jackson Pike
Gallipolis, OH 45631-2600
Phone (740) 446-6020

Other practice location 2

1134 Jackson Pike
Gallipolis, OH 45631-2600
Phone (740) 446-6020

Other identifiers 1

IdentifierTypeStateIssuer
0369269MedicaidOH

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

LicenseStateTypeSpecialty
CDCA.169910OHMDAddiction (Substance Use Disorder) Counselor
CDCA.173288OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1396203683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 FINDLAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 GALLIA ST",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-354-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 Jackson Pike",
            "address_purpose": "LOCATION",
            "city": "Gallipolis",
            "state": "OH",
            "postal_code": "456312600",
            "country_code": "US",
            "telephone_number": "740-446-6020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1134 Jackson Pike",
            "address_purpose": "LOCATION",
            "city": "Gallipolis",
            "state": "OH",
            "postal_code": "456312600",
            "country_code": "US",
            "telephone_number": "740-446-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYSER",
        "first_name": "ADRIANNA",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.169910",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.173288",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "QMHS",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369269",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Boston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.