KATELYN JO ERTLE LPC CDCA NPI 1770105447

NPI Information

NPI: 1770105447
Provider Name: KATELYN JO ERTLE, LPC, CDCA
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1791 ALUM CREEK DR
COLUMBUS, OH
ZIP 43207
Phone: (144) 458-1316
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Katelyn Jo Ertle, LPC, CDCA is a counselor in Columbus, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Katelyn Jo Ertle, LPC, CDCA NPI is 1770105447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1791 ALUM CREEK DR
COLUMBUS, OH
ZIP 43207-757
Phone: (144) 458-1316

The enumeration date for this NPI number is 5/15/2020 and was last updated on 7/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C2103343		Yes
2	101Y00000X	Counselor		C2002398TRNE	OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA176681	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0403566	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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