Organization Active NPI

Kosta Health Promotions LLC

  • Professional Counselor
  • Fremont, OH
National Provider Identifier
1922830884
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KOSTA HEALTH PROMOTIONS LLC
Practice address
200 S Arch St
Fremont, OH 43420-2961
Phone
(419) 680-3000
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Joanne KostaNPI 1497189179
Title
Owner
Phone
(419) 355-9169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

200 S Arch St
Fremont, OH 43420-2961

Mailing address

2521 County Road 41
Fremont, OH 43420-8980
Phone (419) 355-9169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241014001688 OH Part B Supplier - Clinic/Group Practice 8123550365 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, OH

National Provider Directory

National Provider Directory

Locations

200 S Arch St
Fremont, OH 43420
Phone (419) 307-0956

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1922830884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 COUNTY ROAD 41",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434208980",
            "telephone_number": "419-355-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ARCH ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202961",
            "telephone_number": "419-680-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSTA HEALTH PROMOTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "KOSTA",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-355-9169"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.