Active NPI
Matthew Lewis Kohl
- Counselor
- Springfield, OH
National Provider Identifier
1801175666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C0602048
- Practice address
- 651 S Limestone St
Springfield, OH 45505-1965 - Phone
- (937) 324-1111
- Fax
- (937) 322-3368
- NPI assigned
- Aug 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C0602048 | OH | Primary |
Addresses
Primary practice location
651 S Limestone St
Springfield, OH 45505-1965
Mailing address
651 South Limestone Street
Springfield, OH 45505
Phone (937) 324-1111
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 |
|---|---|---|---|
| C0602048 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1801175666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 SOUTH LIMESTONE STREET",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45505",
"telephone_number": "937-324-1111",
"fax_number": "937-322-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 S LIMESTONE ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051965",
"telephone_number": "937-324-1111",
"fax_number": "937-322-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHL",
"first_name": "MATTHEW",
"middle_name": "LEWIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C0602048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.