KENNETH STAHL LPCC-S, LICDC
NPI 1285173179
Counselor - Professional in West Liberty, OH

Q: What is Kenneth Stahl's NPI number?

The NPI number for Kenneth Stahl is 1285173179. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Q: What is Kenneth Stahl's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Stahl was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 13, 2017PECOS Enrolled

4879 US HIGHWAY 68 S, WEST LIBERTY, OH 43357(937) 599-1411(937) 599-4128 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2019, Nov 20, 2018, Feb 13, 2017 (3 updates tracked since 2017).

On this page

About Kenneth Stahl Lpcc-s, Licdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH STAHL LPCC-S, LICDC (NPI 1285173179) is an individual professional provider in West Liberty, Ohio, licensed in Ohio (E1700041-SUPV) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285173179

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKENNETH STAHLCredential: LPCC-S, LICDC

Location Address4879 US HIGHWAY 68 SWest Liberty, OH 43357

Mailing Address4879 Us Highway 68 SWest Liberty, OH 43357-9525 · (937) 599-1411 · Fax (937) 599-4128

Phone(937) 599-1411

Fax(937) 599-4128

Sole ProprietorNo

Enumeration DateFebruary 13, 2017

Last NPPES UpdateApril 16, 20193 updates tracked since enumeration

✔ NPI 1285173179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E1700041-SUPV

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161786 (OH)

4879 US HIGHWAY 68 S, West Liberty, OH 43357

Open in Google Maps ↗

Other Identifiers 1

Medicaid0213436OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Stahl Lpcc-s, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Stahl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health And Wellness Partners Of Logan County

Same address

Federally Qualified Health Center (FQHC)

4879 US RT. 68, MOBILE UNIT 1
West Liberty, OH 43357

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Community Health & Wellness Partners Of Logan County
27 clinicians in this Medicare group

NPI 1225883366 (937) 599-1411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY RUTAN HOSPITAL

Family Medicine