Individual provider Active NPI

Barbara Y Kroehle, PCC-S

  • Mental Health Counselor
  • Wadsworth, OH
National Provider Identifier
1427560028
Registry record updated Nov 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0006984-SUPV Issued in OH
Practice address
1021 Ridgewood Rd
Wadsworth, OH 44281-9711
Phone
(234) 206-0815
NPI assigned
Nov 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0006984-SUPV OH Primary

Addresses

Primary practice location

1021 Ridgewood Rd
Wadsworth, OH 44281-9711

Mailing address

26956 Windwood Way
Olmsted TWP, OH 44138-1168
Phone (440) 221-3099

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
E.0006984-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Farm, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509753600000",
    "number": "1427560028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26956 WINDWOOD WAY",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381168",
            "telephone_number": "440-221-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 RIDGEWOOD RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819711",
            "telephone_number": "234-206-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEHLE",
        "first_name": "BARBARA",
        "middle_name": "Y",
        "credential": "PCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2017-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0006984-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; 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.