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MS. KATIE M KISSEL LISW-S
NPI 1821546953
Social Worker - Clinical in Shelby, OH

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
4312 BOWMAN STREET RD, SHELBY, OH 44875(419) 612-1821 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Katie M Kissel Lisw-s NPPES

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

MS. KATIE M KISSEL LISW-S (NPI 1821546953) is an individual clinical provider in Shelby, Ohio, licensed in Ohio (I.1901950-SUPV) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821546953
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATIE M KISSELCredential: LISW-S
Location Address4312 BOWMAN STREET RDShelby, OH 44875-8806
Mailing Address4312 Bowman Street RdShelby, OH 44875-8806 · (419) 612-1821
Phone(419) 612-1821
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 19, 2016
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1821546953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.1901950-SUPV
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 ListedSocial WorkerTaxonomy 104100000X · License S.1440189 (OH)
4312 BOWMAN STREET RD, Shelby, OH 44875
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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 and accepts Medicare assignment

Ms. Katie M Kissel Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173959947
PECOS Enrollment IDI20260115002706
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 Katie Kissel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hope419, LLC
6.9 mi
Behavioral Neurology & Neuropsychiatry
2267 VILLAGE MALL DR UNIT 2
Ontario, OH 44906
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1750990438 (419) 951-2020

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44875 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.

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 Katie Kissel's NPI number?

The NPI number for Katie Kissel is 1821546953. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Katie Kissel located?

Katie Kissel practices at 4312 Bowman Street Rd, Shelby, OH 44875. The listed phone number is (419) 612-1821.

What is Katie Kissel's specialty?

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

Is Katie Kissel enrolled in Medicare?

Yes. Katie Kissel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katie Kissel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Kissel reassigns Medicare benefits to Hope419, LLC (Ontario, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katie Kissel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Kissel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 7 other insurers list Katie Kissel 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 Katie Kissel was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.