1659334738 NPI number — KRISTIN A RINEHART MSW, LISW

Table of content: KRISTIN A RINEHART MSW, LISW (NPI 1659334738)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659334738 NPI number — KRISTIN A RINEHART MSW, LISW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINEHART
Provider First Name:
KRISTIN
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW, LISW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659334738
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5435 CENTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILO
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43771-9780
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-683-8348
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5435 CENTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43771-9780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-683-8348
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  I7231 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 142337 . This is a "COMPSYCH BH PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000218887 . This is a "ANTHEM PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: Y453915 . This is a "THE HEALTH PLAN PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 218921 . This is a "TRICARE/MHN PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 172626000 . This is a "MAGELLAN PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 6244802 . This is a "UBH PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 9071398 . This is a "PRIVATE HELTHCRE SYS PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 115602 . This is a "MOUNT CARMEL PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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