Individual provider Active NPI

Kendall Reiter, LPCC

  • Mental Health Counselor
  • Sylvania, OH
National Provider Identifier
1699254615
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2202767 Issued in OH
Practice address
5800 Monroe St BLDG G
Sylvania, OH 43560-2211
Phone
(419) 824-6350
NPI assigned
Aug 9, 2018
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1901609 OH
Counselor 101Y00000X C.1800852-TRNE OH
Mental Health Counselor 101YM0800X E.2202767 OH Primary

Addresses

Primary practice location

5800 Monroe St BLDG G
Sylvania, OH 43560-2211

Mailing address

5800 Monroe St BLDG G
Sylvania, OH 43560-2211
Phone (419) 824-6350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kendall.reiter@promedica.org Direct

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
I20241003003058 OH Practitioner - Mental Health Counselor 2365973153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1800852-TRNEOHMDCounselor
1901609OHMDMental Health Counselor
E.2202767OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jul 12, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Jul 12, 2024 Accepting new patients

Locations

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

5800 Monroe St
Bldg G
Sylvania, OH 43560
Phone (419) 824-6350

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

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, 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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1699254615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST BLDG G",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602211",
            "telephone_number": "419-824-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST BLDG G",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602211",
            "telephone_number": "419-824-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "KENDALL",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1901609",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1800852-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2202767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kendall.reiter@promedica.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5800 Monroe St Bldg G",
            "city": "Sylvania",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435602211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.