Active NPI
Peponi Wellness Solutions LLC
- Clinical Social Worker
- Kettering, OH
National Provider Identifier
1932907060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PEPONI WELLNESS SOLUTIONS LLC
- Practice address
- 433 Avon Way
Kettering, OH 45429-1433 - Phone
- (312) 447-9709
- Fax
- (888) 920-2046
- NPI assigned
- Mar 5, 2025
- Last updated
- Apr 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Kathryn Rehard, MSW
- Title
- Owner/Clinician
- Phone
- (312) 447-9709
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
433 Avon Way
Kettering, OH 45429-1433
Mailing address
PO Box 236
Dayton, OH 45409-0236
Phone (312) 447-9709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Kettering, OH
- NPI 1114390267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744416000000",
"number": "1932907060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "DAYTON",
"state": "OH",
"postal_code": "454090236",
"telephone_number": "312-447-9709",
"fax_number": "888-920-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 AVON WAY",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291433",
"telephone_number": "312-447-9709",
"fax_number": "888-920-2046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEPONI WELLNESS SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-05",
"last_updated": "2025-04-12",
"certification_date": "2025-04-12",
"status": "A",
"authorized_official_last_name": "REHARD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "KATHRYN",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "312-447-9709",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.