Active NPI
Keith Jered Hochadel, LPCC-S
- Professional Counselor
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0008405 - SUPV
- Practice address
- 901 Tuscarawas St E
Canton, OH 44707-3152 - Phone
- (330) 205-9515
- Fax
- (330) 754-6253
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0008405 - SUPV | OH | Primary |
Addresses
Primary practice location
901 Tuscarawas St E
Canton, OH 44707-3152
Mailing address
901 Tuscarawas St E
Canton, OH 44707-3152
Phone (330) 205-9515
Other practice location 1
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070
Other practice location 2
470 E Broadway St Ste 103
Alliance, OH 44601-2609
Phone (330) 205-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0293399 | Medicaid | OH |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0008405 - SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Men'S Challenge of Alliance | Professional | Current | Accepting new patients |
Locations
470 E Broadway St
Ste 103
Alliance, OH 44601
Phone (330) 205-9515
901 Tuscarawas St E
Canton, OH 44707
Phone (330) 205-9515
Organizations & group practices 1
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.
-
- Professional Counselor
- Canton, OH
- NPI 1841925443
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": "1676332800000",
"number": "1932250024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 TUSCARAWAS ST E",
"city": "CANTON",
"state": "OH",
"postal_code": "447073152",
"telephone_number": "330-205-9515",
"fax_number": "330-754-6253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 TUSCARAWAS ST E",
"city": "CANTON",
"state": "OH",
"postal_code": "447073152",
"telephone_number": "330-205-9515",
"fax_number": "330-754-6253"
}
],
"practiceLocations": [
{
"address_1": "527 N Meridian Rd",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445091227",
"country_code": "US",
"telephone_number": "330-797-0070",
"fax_number": "330-797-9146",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "470 E Broadway St Ste 103",
"address_purpose": "LOCATION",
"city": "Alliance",
"state": "OH",
"postal_code": "446012609",
"country_code": "US",
"telephone_number": "330-205-9515",
"fax_number": "330-754-6253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOCHADEL",
"first_name": "KEITH",
"middle_name": "JERED",
"name_prefix": "Mr.",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0008405 - SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0293399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.