Active NPI
Kenneth J. Karger, PH.D., LLC
- Counseling Psychologist
- Wooster, OH
National Provider Identifier
1629281514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2147
- Legal business name
- KENNETH J. KARGER, PH.D., LLC
- Practice address
- 633 Kieffer St
Wooster, OH 44691-2415 - Phone
- (330) 345-5465
- Fax
- (330) 345-5156
- NPI assigned
- May 7, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Jay Karger, PH.D.
- Title
- Psychologist, Owner
- Phone
- (330) 345-5465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2147 | OH | Primary |
Addresses
Primary practice location
633 Kieffer St
Wooster, OH 44691-2415
Mailing address
633 Kieffer St
Wooster, OH 44691-2415
Phone (330) 345-5465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0312487 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
633 Kieffer St
Wooster, OH 44691
Phone (330) 201-4074
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Wooster, OH
- NPI 1407860992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629281514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 KIEFFER ST",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912415",
"telephone_number": "330-345-5465",
"fax_number": "330-345-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 KIEFFER ST",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912415",
"telephone_number": "330-345-5465",
"fax_number": "330-345-5156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH J. KARGER, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KARGER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
"authorized_official_telephone_number": "330-345-5465",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "2147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0312487",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.