Active NPI
Kylie Eibel
- Clinical Social Worker
- Zanesville, OH
National Provider Identifier
1730733676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.1903934
- Practice address
- 1590 Coal Run Rd
Zanesville, OH 43701-9167 - Phone
- (740) 297-4726
- Fax
- (740) 487-1461
- NPI assigned
- Jul 29, 2019
- Last updated
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | S.1903934 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.162070 | OH | |
| Clinical Social Worker | 1041C0700X | S.1903934 | OH | Primary |
Addresses
Primary practice location
1590 Coal Run Rd
Zanesville, OH 43701-9167
Mailing address
1590 Coal Run Rd
Zanesville, OH 43701-9167
Phone (740) 297-4726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1903934 | OH | MD | Counselor |
| LCDCIII.162070 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Ridge Behavioral Health Solutions LLC | Past | Accepting new patients | |
| Pinnacle Treatment Centers Oh-IV, LLC | Past | Accepting new patients | |
| Cedar Ridge Behavioral Health Solutions | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Cambridge, OH
- NPI 1447769666
-
- Community/Behavioral Health Agency
- Cambridge, OH
- NPI 1063779460
-
dba Zanesville Treatment Services
- Methadone Clinic
- Zanesville, OH
- NPI 1336630482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1730733676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 COAL RUN RD",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437019167",
"telephone_number": "740-297-4726",
"fax_number": "404-871-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 COAL RUN RD",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437019167",
"telephone_number": "740-297-4726",
"fax_number": "740-487-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIBEL",
"first_name": "KYLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "S.1903934",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.162070",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.1903934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.