Active NPI
William Kissell, LPC
- Mental Health Counselor
- Lisbon, OH
National Provider Identifier
1891846192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C0004852
- Practice address
- 40722 State Route 154
Lisbon, OH 44432-8500 - Phone
- (330) 424-9573
- Fax
- (330) 424-0877
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C0004852 | OH | Primary |
Addresses
Primary practice location
40722 State Route 154
Lisbon, OH 44432-8500
Mailing address
720 Doolittle St
Carnegie, PA 15106-1121
Phone (412) 246-2991
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0004852 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891846192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 DOOLITTLE ST",
"city": "CARNEGIE",
"state": "PA",
"postal_code": "151061121",
"telephone_number": "412-246-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40722 STATE ROUTE 154",
"city": "LISBON",
"state": "OH",
"postal_code": "444328500",
"telephone_number": "330-424-9573",
"fax_number": "330-424-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSELL",
"first_name": "WILLIAM",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C0004852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisbon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.