Individual provider Active NPI

Kayla Hamilton

  • Marriage & Family Therapist
  • Kettering, OH
National Provider Identifier
1659081982
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.2200243 Issued in OH
Practice address
3085 Woodman Dr Ste 240
Kettering, OH 45420-1159
Phone
(937) 951-3077
Fax
(937) 951-3109
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002197A IN
Marriage & Family Therapist 106H00000X F.2200243 OH Primary

Addresses

Primary practice location

3085 Woodman Dr Ste 240
Kettering, OH 45420-1159

Mailing address

3085 Woodman Dr Ste 240
Kettering, OH 45420-1159
Phone (937) 951-3077

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
I20240507000430 OH Practitioner - Marriage and Family Therapist 2466892534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35002197AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthstone Psychology LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

3085 Woodman Dr
Ste 240
Kettering, OH 45420
Phone (937) 266-5006

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1659081982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 240",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201159",
            "telephone_number": "937-951-3077",
            "fax_number": "937-951-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 240",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201159",
            "telephone_number": "937-951-3077",
            "fax_number": "937-951-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002197A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2200243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.