Kelli Rhea Ott, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0800066 Issued in OH

Practice address

3768 Wayne Trace Rd
Eaton, OH 45320-8412

Phone

(937) 308-5055

NPI assigned

Mar 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thrive Therapeutics, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Eaton, OH
  • NPI 1033784731
  NPD Authorized official
• Thrive Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Eaton, OH
  • NPI 1134746241
  NPD Authorized official

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1740450436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453200624",
            "telephone_number": "937-308-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 WAYNE TRACE RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208412",
            "telephone_number": "937-308-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "KELLI",
        "middle_name": "RHEA",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0800066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• October Enterprises, Inc.
• October Enterprises, Inc.
• Lori Kay Oda, MS, AT, ATC
• Ohio CVS Stores LLC
• Orthopedic Associates of S W Ohio
• Cadence M Pacheco
• Brandy Parizek
• Logan M Pence, LICDC
• Macy Pennington
• Heather Perry, LPN

• Clinical Social Worker in Eaton, OH
• Providers in Eaton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.