Active NPI
Kristine Laise Reese, CDCA
- Social Worker
- Loveland, OH
National Provider Identifier
1992296651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- W.2300368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 140412 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| W.2300368 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Ray of Hope Counseling and Health Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Nova Behavioral Health, Inc | Past | 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
- 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.
-
- Counselor
- Mason, OH
- NPI 1003262684
Addiction (Substance Use Disorder)
-
- Substance Abuse Rehabilitation Facility
- Dayton, OH
- NPI 1548217748
-
- Substance Abuse Rehabilitation Facility
- Dayton, OH
- NPI 1164782017
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.