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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS TRISTAN M KETTEL CDCA
NPI 1750081832
Social Worker - Clinical in Newark, OH

Active since March 07, 2023PECOS Enrolled
62 E STEVENS ST, NEWARK, OH 43055(740) 366-7303 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 22, 2026, Jun 16, 2025, Mar 7, 2023 (3 updates tracked since 2023).

About Miss Tristan M Kettel Cdca NPPES

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

MISS TRISTAN M KETTEL CDCA (NPI 1750081832) is an individual clinical provider in Newark, Ohio and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750081832
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS TRISTAN M KETTELCredential: CDCA
Location Address62 E STEVENS STNewark, OH 43055-5900
Mailing Address62 E Stevens StNewark, OH 43055-5900 · (740) 366-7303
Phone(740) 366-7303
Sole ProprietorYes
Enumeration DateMarch 7, 2023
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1750081832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.183783 (OH)
Also ListedSocial WorkerTaxonomy 104100000X
62 E STEVENS ST, Newark, OH 43055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Tristan M Kettel Cdca 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. JAMES TAKACS LICDC-CS
Counselor (Addiction (Substance Use Disorder))
62 E STEVENS ST
NEWARK, OH 43055
Licking County (740) 366-7303
MR. DONALD ERIC LEE CDCA
Counselor (Addiction (Substance Use Disorder))
62 E STEVENS ST
NEWARK, OH 43055
Licking County (740) 366-7303
LICKING COUNTY ALCOHOLISM PREVENTION PROGRAM
Community/Behavioral Health
62 E STEVENS ST
NEWARK, OH 43055
Licking County (740) 366-7303
LICKING COUNTY ALCOHOLISM PREVENTION PROGRAM
Counselor (Addiction (Substance Use Disorder))
62 E STEVENS ST
NEWARK, OH 43055
Licking County (740) 366-7303
ELIZABETH ANNE SPELLMAN LISW
Social Worker (Clinical)
62 E STEVENS ST
NEWARK, OH 43055
Licking County (740) 366-7303
MR. JAMES EDWARD PFISTER MSW, LISW
Social Worker (Clinical)
62 E STEVENS ST
NEWARK, OH 43055
Licking County (740) 366-7303
TESSA MARIE ROWLAND
Counselor (Addiction (Substance Use Disorder))
62 E STEVENS ST
NEWARK, OH 43055
Licking County (740) 366-7303
STEPHEN ANDREW MORRISON CDCA
Counselor (Addiction (Substance Use Disorder))
62 E STEVENS ST
NEWARK, OH 43055
Licking County (740) 364-7229

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 Tristan Kettel's NPI number?

The NPI number for Tristan Kettel is 1750081832. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Tristan Kettel located?

Tristan Kettel practices at 62 E Stevens St, Newark, OH 43055. The listed phone number is (740) 366-7303.

What is Tristan Kettel's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tristan Kettel enrolled in Medicare?

Yes. Tristan Kettel is registered in the Medicare PECOS enrollment system.

What insurance does Tristan Kettel accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Tristan Kettel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tristan Kettel was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.