1. Home
  2. Directory
  3. Ohio
  4. Xenia
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KALI SHADE CPRS
NPI 1447075502
Counselor - Addiction (Substance Use Disorder) in Xenia, OH

Active since November 22, 2024
282 STELTON RD, XENIA, OH 45385(937) 505-3400 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, Nov 22, 2024 (2 updates tracked since 2024).

About Kali Shade Cprs NPPES

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

KALI SHADE CPRS (NPI 1447075502) is an individual addiction (substance use disorder) provider in Xenia, Ohio, licensed in Ohio (CDCA.195702) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1447075502
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKALI SHADECredential: CPRS
Location Address282 STELTON RDXenia, OH 45385-5220
Mailing AddressPo Box 212Xenia, OH 45385-0212 · (937) 505-3400 · Fax (937) 660-5656
Phone(937) 505-3400
Sole ProprietorNo
Enumeration DateNovember 22, 2024
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1447075502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.195702
Also ListedPeer SpecialistTaxonomy 175T00000X · License APS.005258 (OH)
282 STELTON RD, Xenia, OH 45385
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

LINDA MORTENSEN
Counselor (Addiction (Substance Use Disorder))
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
REBECCA MAGYAR
Counselor (Addiction (Substance Use Disorder))
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
AMANDA THOMPSON
Peer Specialist
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
ERICAH BEACOM BESS CDCA
Counselor (Addiction (Substance Use Disorder))
282 STELTON RD
XENIA, OH 45385
Greene County (937) 372-1600
ALBERT PUCKETT CPRS
Peer Specialist
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
RONALD KOHLRUS CDCA
Counselor (Addiction (Substance Use Disorder))
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
JENNA ORME MSN, RN
Registered Nurse
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
LOUIS WILLIAMSON
Peer Specialist
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kali Shade's NPI number?

The NPI number for Kali Shade is 1447075502. It was assigned to this individual provider in the NPPES registry on November 22, 2024.

Where is Kali Shade located?

Kali Shade practices at 282 Stelton Rd, Xenia, OH 45385. The listed phone number is (937) 505-3400.

What is Kali Shade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kali Shade was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.