Kelsey Suzanne Hofer, MS, LPC
NPI 1386288314ActiveIndividual· Counselor, Professional· Fairborn, OH
Counselor, Professional (MS, LPC) with Phoenix Group Home LLC, practicing in Fairborn, Ohio. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1386288314 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPC |
| Sole proprietor | Yes |
| NPI issued | Nov 2, 2019 |
| Last updated in NPPES | Aug 24, 2024 |
| Certified by provider | Aug 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | E.2102584-SUPV | OH |
| Counselor | 101Y00000X | PC011607 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Phoenix Group Home LLCAthens, OH · 36 clinicians
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