Individual provider Active NPI

Kelly Stuhldreher, MA, LPC, NCC

  • Professional Counselor
  • Dover, OH
National Provider Identifier
1871022483
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2001915-SUPV Issued in OH
Practice address
130 W 3Rd St
Dover, OH 44622-2934
Phone
(303) 343-6600
Fax
(330) 343-6600
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2001915-SUPV OH Primary

Addresses

Primary practice location

130 W 3Rd St
Dover, OH 44622-2934

Mailing address

130 W 3Rd St
Dover, OH 44622-2934
Phone (303) 343-6600

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

LicenseStateTypeSpecialty
E.2001915-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan L Dunn, PH.D., Inc Professional CurrentSince Jun 9, 2024 Accepting new patients

Locations

130 W 3rd St
Dover, OH 44622
Phone (330) 343-6600

404 N Walnut St
Dover, OH 44622
Phone (330) 343-6600

Organizations & group practices 1

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1871022483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 3RD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222934",
            "telephone_number": "303-343-6600",
            "fax_number": "330-343-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 3RD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222934",
            "telephone_number": "303-343-6600",
            "fax_number": "330-343-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUHLDREHER",
        "first_name": "KELLY",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001915-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.