Individual provider Active NPI

Melissa Kaiser, LICDC-CS, LSW-MSW,

  • Social Worker
  • Dayton, OH
National Provider Identifier
1548718067
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1500927 Issued in OH
Practice address
8963 Kingsridge Dr Ste a
Dayton, OH 45458-1623
Phone
(513) 464-9220
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.021336 OH
Social Worker 104100000X 258344 KY
Social Worker 104100000X S.1500927 OH Primary

Addresses

Primary practice location

8963 Kingsridge Dr Ste a
Dayton, OH 45458-1623

Mailing address

610 N Marshall Rd
Middletown, OH 45042-3832

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
LICDC.021336OHMDAddiction (Substance Use Disorder) Counselor
258344KYMDSocial Worker
S.1500927OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Protea Behavioral Health Counseling, PLLC Addiction (Substance Use Disorder) CurrentSince Feb 25, 2024 Accepting new patients
Protea Behavioral Health Counseling, PLLC Addiction (Substance Use Disorder) CurrentSince Jun 6, 2024 Accepting new patients

Locations

8963 Kingsridge Dr
Ste A
Dayton, OH 45458
Phone (513) 260-9693

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1548718067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MARSHALL RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8963 KINGSRIDGE DR STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581623",
            "telephone_number": "513-464-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "MELISSA",
        "credential": "LICDC-CS, LSW-MSW,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.021336",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "258344",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1500927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.