Active NPI
Kelly M Oberbrunner, MA,PC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1821158577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C8027
- Practice address
- 90 Northwoods Blvd Ste 9
Columbus, OH 43235-4719 - Phone
- (614) 259-7610
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C8027 | OH | Primary |
Addresses
Primary practice location
90 Northwoods Blvd Ste 9
Columbus, OH 43235-4719
Mailing address
90 Northwoods Blvd.
Suite 9
Columbus, OH 43235
Phone (614) 259-7610
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8027 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1821158577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 NORTHWOODS BLVD.",
"address_2": "SUITE 9",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43235",
"telephone_number": "614-259-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 NORTHWOODS BLVD STE 9",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354719",
"telephone_number": "614-259-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERBRUNNER",
"first_name": "KELLY",
"middle_name": "M",
"credential": "MA,PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C8027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.