Individual provider Active NPI

Kristine Laise Reese, CDCA

  • Social Worker
  • Loveland, OH
National Provider Identifier
1992296651
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
W.2300368 Issued in OH
Practice address
8977 Columbia Rd Ste a
Loveland, OH 45140-1100
Phone
(513) 409-3635
Fax
(513) 402-0408
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 140412 OH
Social Worker 104100000X W.2300368 OH Primary

Addresses

Primary practice location

8977 Columbia Rd Ste a
Loveland, OH 45140-1100

Mailing address

8977 Columbia Rd Ste a
Loveland, OH 45140-1100
Phone (513) 409-3635

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

State licenses

LicenseStateTypeSpecialty
140412OHMDAddiction (Substance Use Disorder) Counselor
W.2300368OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Ray of Hope Counseling and Health Services Addiction (Substance Use Disorder) CurrentSince Feb 11, 2024 Accepting new patients
Nova Behavioral Health, Inc PastSince Dec 1, 2016 Accepting new patients
Nova Behavioral Health, Inc. Past Accepting new patients

Locations

8977 Columbia Rd
#A
Loveland, OH 45140
Phone (513) 409-3635

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1992296651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8977 COLUMBIA RD STE A",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401100",
            "telephone_number": "513-409-3635",
            "fax_number": "513-402-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8977 COLUMBIA RD STE A",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401100",
            "telephone_number": "513-409-3635",
            "fax_number": "513-402-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "KRISTINE",
        "middle_name": "LAISE",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "140412",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "W.2300368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.