Individual provider Active NPI

Monica Kettler

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1689215840
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
580 S High St Unit 220
Columbus, OH 43215-5644
Phone
(614) 625-7183
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

580 S High St Unit 220
Columbus, OH 43215-5644

Mailing address

580 S High St Unit 220
Columbus, OH 43215-5644

Other practice location 1

5109 W Broad St
Columbus, OH 43228-1648
Phone (614) 267-7003

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
I20250226001449 OH Practitioner - Mental Health Counselor 8325568991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Still Waters Counseling, LLCGroup PAC ID 2365802519, 5 clinicians

Practice addresses (Care Compare)

6500 Emerald Pkwy
Suite 100
Dublin, OH 43016-6236
Phone (419) 680-2423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling, LLC CurrentSince Mar 10, 2025 Accepting new patients
Open Arms Counseling, LLC PastSince May 26, 2024 Accepting new patients

Locations

6500 Emerald Pkwy
Ste 100
Dublin, OH 43016
Phone (419) 680-2423

Organizations & group practices 2

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1689215840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S HIGH ST UNIT 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S HIGH ST UNIT 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155644",
            "telephone_number": "614-625-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5109 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281648",
            "country_code": "US",
            "telephone_number": "614-267-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTLER",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.