Active NPI
Kholby Klein
- Mental Health Counselor
- Crown Point, IN
National Provider Identifier
1922561208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39005250A
- Practice address
- 1404 E Joliet St
Crown Point, IN 46307-4724 - Phone
- (219) 736-8100
- NPI assigned
- Apr 12, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39005250A | IN | Primary |
Addresses
Primary practice location
1404 E Joliet St
Crown Point, IN 46307-4724
Mailing address
1404 E Joliet St
Crown Point, IN 46307-4724
Phone (219) 736-8100
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 |
|---|---|---|---|
| 39005250A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Living, Inc | Mental Health | Past | Accepting new patients |
| Total Spectrum, LLC | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Merrillville, IN
- NPI 1679943955
-
- Behavior Analyst
- Elmhurst, IL
- NPI 1922423177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1922561208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 E JOLIET ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074724",
"telephone_number": "219-736-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 E JOLIET ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074724",
"telephone_number": "219-736-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "KHOLBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39005250A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.