Active NPI
Elaine A Kiene, PCC
- Professional Counselor
- Lima, OH
National Provider Identifier
1881858413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0003929-SUPV
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.