Active NPI
Ameena Kemavor, LPCC-S
- Mental Health Counselor
- Blacklick, OH
National Provider Identifier
1457991952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0500614
- Practice address
- 168 Bannockburn Blvd
Blacklick, OH 43004-9786 - Phone
- (614) 849-2389
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0500614 | OH | |
| Mental Health Counselor | 101YM0800X | E.0500614 | OH | Primary |
Addresses
Primary practice location
168 Bannockburn Blvd
Blacklick, OH 43004-9786
Mailing address
1900 Brice Rd Ste B
Reynoldsburg, OH 43068-3403
Phone (614) 239-9965
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.0500614 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitehall Cap Inc | Mental Health | Past | Accepting new patients |
| Whitehall Cap Inc | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Reynoldsburg, OH
- NPI 1093366148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1457991952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 BRICE RD STE B",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430683403",
"telephone_number": "614-239-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 BANNOCKBURN BLVD",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430049786",
"telephone_number": "614-849-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMAVOR",
"first_name": "AMEENA",
"name_prefix": "Dr.",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0500614",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0500614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.