Individual provider Active NPI

Lori Klaus, MS, LPCC

  • Mental Health Counselor
  • Kalida, OH
National Provider Identifier
1508924143
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0500320 Issued in OH
Practice address
605 N Broad St
Kalida, OH 45853-2037
Phone
(567) 825-1214
NPI assigned
Dec 5, 2006
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0500320 OH
Mental Health Counselor 101YM0800X E0500320 OH Primary

Addresses

Primary practice location

605 N Broad St
Kalida, OH 45853-2037

Mailing address

PO Box 303
Kalida, OH 45853-0303
Phone (567) 825-1214

Other practice location 1

1320 Woodman Dr
Suite 200
Dayton, OH 45432-3497
Phone (937) 223-1781

Other identifiers 1

IdentifierTypeStateIssuer
1508924143MedicaidOH

Other names 1

  • Lori Osterhage Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.klauscounselinggroup.com/ Health Information Exchange (HIE)

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C0500320OHMDMental Health Counselor
E0500320OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapeutic Services Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1508924143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "KALIDA",
            "state": "OH",
            "postal_code": "458530303",
            "telephone_number": "567-825-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N BROAD ST",
            "city": "KALIDA",
            "state": "OH",
            "postal_code": "458532037",
            "telephone_number": "567-825-1214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Woodman Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454323497",
            "country_code": "US",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAUS",
        "first_name": "LORI",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0500320",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0500320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508924143",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.klauscounselinggroup.com/",
            "affiliation": "N",
            "endpointDescription": "https://www.klauscounselinggroup.com/",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "605 N Broad St",
            "city": "Kalida",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458532037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "OSTERHAGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalida, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.