Individual provider Active NPI

Janice Kiel, LMFT, LMHC

  • Mental Health Counselor
  • Columbus, IN
National Provider Identifier
1689921561
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000814A Issued in IN
Practice address
927 4TH St
Columbus, IN 47201-6824
Phone
(812) 799-3530
Fax
(844) 718-0101
NPI assigned
Aug 9, 2012
Last updated
Feb 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39000814A IN Primary
Marriage & Family Therapist 106H00000X 35001355A IN

Addresses

Primary practice location

927 4TH St
Columbus, IN 47201-6824

Mailing address

719 5TH St
Columbus, IN 47201-6306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20241001003162 IN Practitioner - Marriage and Family Therapist 9032650627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peter's Lutheran ChurchGroup PAC ID 8224579818, 6 clinicians

Practice addresses (Care Compare)

927 4TH St
Columbus, IN 47201-6824
Phone (812) 799-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39000814AINMDMental Health Counselor
35001355AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's Lutheran Church CurrentSince Jul 1, 2024 Accepting new patients

Locations

719 5th St
Columbus, IN 47201
Phone (812) 581-7703

927 4th St
Columbus, IN 47201
Phone (812) 372-1571

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1689921561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 5TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 4TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016824",
            "telephone_number": "812-799-3530",
            "fax_number": "844-718-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEL",
        "first_name": "JANICE",
        "credential": "LMFT, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000814A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001355A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.