Active NPI
Kevin Neil Kibler, LSW
- Social Worker
- Mount Gilead, OH
National Provider Identifier
1477667111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 245 Neal Ave
Mount Gilead, OH 43338-9372 - Phone
- (614) 445-8131
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S0014515 | OH | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
245 Neal Ave
Mount Gilead, OH 43338-9372
Mailing address
1791 Alum Creek Dr
Columbus, OH 43207-1708
Phone (614) 445-8131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1404 Park Ave W
Suite 2
Mansfield, OH 44906-2633
2257 Lobelia Ave
Upland, CA 91784-7386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0014515 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1477667111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071708",
"telephone_number": "614-445-8131",
"fax_number": "419-562-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 NEAL AVE",
"city": "MOUNT GILEAD",
"state": "OH",
"postal_code": "433389372",
"telephone_number": "614-445-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBLER",
"first_name": "KEVIN",
"middle_name": "NEIL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S0014515",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Gilead, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.