Individual provider Active NPI

Emma Kulbis, LPCC-S

  • Professional Counselor
  • Marion, OH
National Provider Identifier
1639613284
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0800398-SUPV Issued in OH
Practice address
560 N Main St
Marion, OH 43302-2331
Phone
(833) 510-4357
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 292175 KY
Professional Counselor 101YP2500X E.0800398-SUPV OH Primary

Addresses

Primary practice location

560 N Main St
Marion, OH 43302-2331

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

310 College Ave
Ashland, OH 44805-3803
Phone (419) 289-7675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821000710 OH Practitioner - Mental Health Counselor 5597265926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1900 Brice Rd
Reynoldsburg, OH 43068-3403

6090 Royalton Rd
Suite 410
North Royalton, OH 44133-5104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292175KYMDProfessional Counselor
E.0800398-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whitehall Cap Inc CurrentSince Jun 2, 2025 Accepting new patients
Whitehall Cap Inc Professional CurrentSince Jun 2, 2025 Accepting new patients
Brightview, LLC Past Accepting new patients
Ashland County Council on Alcoholism & Drug Abuse, Inc. PastSince May 25, 2021 Accepting new patients
Ashland County Council on Alcoholism & Drug Abuse, Inc. Past Accepting new patients

Locations

1900 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 239-9965

Organizations & group practices 5

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1639613284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433022331",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 College Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "448053803",
            "country_code": "US",
            "telephone_number": "419-289-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULBIS",
        "first_name": "EMMA",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "292175",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0800398-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.