Individual provider Active NPI

Amber M Kelch, LPCC

  • Professional Counselor
  • Mount Orab, OH
National Provider Identifier
1861826026
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1200096 Issued in OH
Practice address
116 N High St
Mount Orab, OH 45154-9158
Phone
(937) 444-9127
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1200096 OH
Professional Counselor 101YP2500X E.1200096 OH Primary

Addresses

Primary practice location

116 N High St
Mount Orab, OH 45154-9158

Mailing address

2600 Victory Pkwy
Cincinnati, OH 45206-1711
Phone (513) 751-7747

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
I20240215003836 OH Practitioner - Mental Health Counselor 8325482573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talbert HouseGroup PAC ID 1951314319, 37 clinicians

Practice addresses (Care Compare)

709 N High St
Mount Orab, OH 45154-6501
Phone (513) 751-7747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1200096OHMDProfessional Counselor
E.1200096OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House CurrentSince Jan 1, 2024 Accepting new patients
Talbert House Primary Care Past Accepting new patients

Locations

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

75 Banting Dr
Georgetown, OH 45121
Phone (937) 378-4811

709 N High St
Mount Orab, OH 45154
Phone (513) 242-7164

116 N High St
Mount Orab, OH 45154
Phone (937) 444-6127

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1861826026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061711",
            "telephone_number": "513-751-7747",
            "fax_number": "513-751-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N HIGH ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549158",
            "telephone_number": "937-444-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELCH",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1200096",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1200096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

Verify at the official NPI Registry.