Gracelyn Rose Kephart, CT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2405481-TRNE Issued in OH

Practice address

11161 Kenwood Rd
Blue Ash, OH 45242-1817

Phone

(513) 744-4624

NPI assigned

Feb 7, 2024

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1922862390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 MUDDY CREEK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452334435",
            "telephone_number": "937-779-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-744-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPHART",
        "first_name": "GRACELYN",
        "middle_name": "ROSE",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2405481-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Diane Kelly, M.D.
• Cecilia Kendrick, DMD
• Kennedy Heights Counseling Services LLC
• Amanda Lauren Kennedy, AGACNP-BC
• Eboni Kennedy, RN
• Tyler Travis Kerr, OD
• Christopher James Kersting, FNP-C
• Angela Marie Keryeski, RPH
• Michael Garret Keryeski
• Saarah Khan, DMD

• Mental Health Counselor in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.