Individual provider Active NPI

Kelly Eckrich

  • Mental Health Counselor
  • Ashland, OH
National Provider Identifier
1912384231
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2233 Rocky LN
Ashland, OH 44805-4701
Phone
(419) 281-3716
Fax
(419) 281-4605
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2233 Rocky LN
Ashland, OH 44805-4701

Mailing address

2233 Rocky LN
Ashland, OH 44805-4701
Phone (419) 281-3716

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
I20240422002335 OH Practitioner - Mental Health Counselor 1658710793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Life Counseling and Psychiatric ServicesGroup PAC ID 0749353464, 12 clinicians

Practice addresses (Care Compare)

151 Marion Ave
Mansfield, OH 44903-2223
Phone (419) 774-9969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Counseling & Psychiatric Services Mental Health CurrentSince Mar 16, 2024 Accepting new patients
Family Life Counseling & Psychiatric Services CurrentSince Mar 16, 2024 Accepting new patients

Locations

133 N Water St
Loudonville, OH 44842
Phone (567) 560-3151

151 Marion Ave
Mansfield, OH 44903
Phone (419) 774-9969

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1912384231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ROCKY LN",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054701",
            "telephone_number": "419-281-3716",
            "fax_number": "419-281-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ROCKY LN",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054701",
            "telephone_number": "419-281-3716",
            "fax_number": "419-281-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKRICH",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.