Charel Lee Khol, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3455 Issued in OH

Practice address

6133 Rockside Rd
Suite 207
Independence, OH 44131-2223

Phone

(216) 520-5969

Fax

(216) 520-5098

NPI assigned

Oct 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Humanistic Counseling Center LLCGroup PAC ID 9335044619, 28 clinicians

Affiliates in Behavioral Health, LLCGroup PAC ID 0547257107, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Affiliates in Behavioral Health, LLC

  • Psychologist
  • Independence, OH
  • NPI 1093820979
  Medicare reassignment Care Compare group
• Humanistic Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lyndhurst, OH
  • NPI 1205829090
  Medicare reassignment Care Compare group
• Redmond and Associates

  • Psychologist
  • Kent, OH
  • NPI 1023276839
  NPD (past) Authorized official
• Child Guidance & Family Solutions

  • Adolescent and Children Mental Health Clinic/Center
  • Akron, OH
  • NPI 1922105147
  NPD (past)
• Paula Hartman-Stein

  • Psychologist
  • Kent, OH
  • NPI 1144417452
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1417946237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 CLOCK POINTE TRL",
            "address_2": "SUITE 104",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242989",
            "telephone_number": "216-839-2273",
            "fax_number": "216-896-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD",
            "address_2": "SUITE 207",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312223",
            "telephone_number": "216-520-5969",
            "fax_number": "216-520-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOL",
        "first_name": "CHAREL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3455",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "3455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "34 1593635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetrious Kennedy
• Kaitlyn Marie Kennedy, MD
• Fatema Khalaf, PHARM D
• Mufeedulla Khan, M.D.
• Ashoo Khanuja, DDS MD
• Alex Kinser
• Duane E Kirksey, MD
• Ashley Knight, LSW
• Bethany Ann Koch, SLP
• Koinonia Behavioral Health, LLC

• Psychologist in Independence, OH
• Providers in Independence, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.