Individual provider Active NPI

Keith Jered Hochadel, LPCC-S

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1932250024
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0008405 - SUPV Issued in OH
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

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0293399MedicaidOH

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E0008405 - SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Men'S Challenge of Alliance Professional CurrentSince Feb 19, 2023 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.

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.

Verify at the official NPI Registry.