Active NPI
Kelly Ann Solli, L.P.C.C.
- Professional Counselor
- Columbus, OH
National Provider Identifier
1588046650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2102515
- Practice address
- 118 E Main St
Columbus, OH 43215-5208 - Phone
- (614) 905-1176
- NPI assigned
- Jun 24, 2015
- 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.2102515 | OH | Primary |
| Professional Counselor | 101YP2500X | C.1400377 | OH |
Addresses
Primary practice location
118 E Main St
Columbus, OH 43215-5208
Mailing address
118 E Main St
Columbus, OH 43215-5208
Other practice location 1
1490 E Main St
Columbus, OH 43205-2140
Phone (614) 252-0731
Other practice location 2
1420 Fields Ave
Columbus, OH 43211-2635
Phone (614) 905-1176
Other practice location 3
100 Dorchester Sq N Ste 102
Westerville, OH 43081
Phone (614) 682-9537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0316608 | Medicaid | OH |
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 |
|---|---|---|---|
| C.1400377 | OH | MD | Professional Counselor |
| E.2102515 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1588046650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155208",
"telephone_number": "614-905-1176"
}
],
"practiceLocations": [
{
"address_1": "1490 E Main St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052140",
"country_code": "US",
"telephone_number": "614-252-0731",
"fax_number": "614-252-8468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1420 Fields Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432112635",
"country_code": "US",
"telephone_number": "614-905-1176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Dorchester Sq N Ste 102",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "43081",
"country_code": "US",
"telephone_number": "614-682-9537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLLI",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "L.P.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2102515",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1400377",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0316608",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.