Individual provider Active NPI

Kateryna Kostenko

  • Social Worker
  • Aurora, OH
National Provider Identifier
1457186553
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2411063 Issued in OH
Practice address
199 S Chillicothe Rd Ste 206
Aurora, OH 44202-8832
Phone
(440) 846-0862
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2411063 OH Primary

Addresses

Primary practice location

199 S Chillicothe Rd Ste 206
Aurora, OH 44202-8832

Mailing address

1555 Mayfair Blvd Apt 2
Mayfield Heights, OH 44124-3038
Phone (216) 410-1744

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
S.2411063OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC Social Worker Past Accepting new patients
Mindfully Psychiatry LLC Past Accepting new patients
Nancy Lowrie & Associates LLC PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 3

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1457186553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 MAYFAIR BLVD APT 2",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441243038",
            "telephone_number": "216-410-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S CHILLICOTHE RD STE 206",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028832",
            "telephone_number": "440-846-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTENKO",
        "first_name": "KATERYNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2411063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.