Active NPI
Kaitlyn Breann Lallathin
- Case Manager/Care Coordinator
- New Lexington, OH
National Provider Identifier
1598413577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 122 W Broadway St
New Lexington, OH 43764-1001 - Phone
- (740) 960-0380
- NPI assigned
- Mar 17, 2022
- Last updated
- Apr 29, 2024
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 187735 | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | Primary |
Addresses
Primary practice location
122 W Broadway St
New Lexington, OH 43764-1001
Mailing address
1256 Edward LN Apt B4
Zanesville, OH 43701-2856
Phone (740) 260-7239
Other practice location 1
4040 Stone Ridge Rd
Zanesville, OH 43701-0501
Phone (614) 328-4231
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 |
|---|---|---|---|
| 187735 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Home Foster Care LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Respite Care
- Zanesville, OH
- NPI 1538933429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1598413577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 EDWARD LN APT B4",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012856",
"telephone_number": "740-260-7239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W BROADWAY ST",
"city": "NEW LEXINGTON",
"state": "OH",
"postal_code": "437641001",
"telephone_number": "740-960-0380"
}
],
"practiceLocations": [
{
"address_1": "4040 Stone Ridge Rd",
"address_purpose": "LOCATION",
"city": "Zanesville",
"state": "OH",
"postal_code": "437010501",
"country_code": "US",
"telephone_number": "614-328-4231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LALLATHIN",
"first_name": "KAITLYN",
"middle_name": "BREANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "187735",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lexington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.