Shane Klaber, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0038761 Issued in OH

Practice address

6730 Roosevelt Ave Ste 301
Middletown, OH 45005-5736

Phone

(513) 928-3339

Fax

(513) 928-3382

NPI assigned

Feb 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sos Wellness LLCGroup PAC ID 0547778573, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Beacon of Hope LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
  • NPI 1891688438
  Medicare reassignment NPD Authorized official
• Sos Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, OH
  • NPI 1861292963
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1578369237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 S DIXIE HWY STE 267",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055717",
            "telephone_number": "513-516-9293",
            "fax_number": "513-995-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 301",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055736",
            "telephone_number": "513-928-3339",
            "fax_number": "513-928-3382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 S Dixie Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454091532",
            "country_code": "US",
            "telephone_number": "513-516-9293",
            "fax_number": "513-995-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLABER",
        "first_name": "SHANE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0038761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lee Kinter, FNP
• Jacki M Kirby
• Christina L Kirkman, LPCC-S
• Kismet Behavioral Solutions
• Annie Kitchen
• Michael T Klapheke, PT
• Craig Klausing, OTR/L
• Marc Klein, DPM
• Jamie Kleiner
• Tim Varnum Klett, LCSW, LISW-S

• Psychiatric/Mental Health Nurse Practitioner in Middletown, OH
• Providers in Middletown, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.

Verify at the official NPI Registry.