Individual provider Active NPI

Elaine A Kiene, PCC

  • Professional Counselor
  • Lima, OH
National Provider Identifier
1881858413
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0003929-SUPV Issued in OH
Practice address
924 N Cable Rd
Lima, OH 45805-1704
Phone
(419) 969-3125
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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.0003929-SUPV OH Primary

Addresses

Primary practice location

924 N Cable Rd
Lima, OH 45805-1704

Mailing address

835 N Locust St
Ottawa, OH 45875-1216
Phone (419) 523-4300

Other practice location 1

835 N Locust St
Ottawa, OH 45875-1216
Phone (419) 523-4300 ext. 126

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
I20240108004134 OH Practitioner - Mental Health Counselor 6002971249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1881858413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N LOCUST ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751216",
            "telephone_number": "419-523-4300",
            "fax_number": "419-523-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051704",
            "telephone_number": "419-969-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 N Locust St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "OH",
            "postal_code": "458751216",
            "country_code": "US",
            "telephone_number": "419-523-4300 x126",
            "fax_number": "419-523-6188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIENE",
        "first_name": "ELAINE",
        "middle_name": "A",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0003929-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.