Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1962950022 Deactivated / Inactive NPI Female Practitioner

Kellie Butler

Social Worker • Ashtabula, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kellie Butler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2016
NPI Deactivation Date June 18, 2026
Total Practice Duration ~10 Years of Practice (2016 – 2026)

Professional Overview & Biography Verified Profile Summary

Kellie Butler was a registered Social Worker practicing in Ashtabula, OH. Throughout an active medical career spanning 10 years, Kellie Butler provided care at the practice location at 2801 C CT until profile deactivation on 2026-06-18.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2801 C Ct

Ashtabula, OH 440044577

Telephone 4409984210
Fax 4409982247
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ashtabula, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Ashtabula, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
75 15 $130.00 $89.97
90832 Psychotherapy, 30 minutes
61 12 $65.00 $46.27
90834 Psychotherapy, 45 minutes
46 16 $90.00 $59.42

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH I.1600675

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Karen Fronczak

Counselor - Professional

NPI 1003343930
Jailah Turner

Case Manager/Care Coordinator

NPI 1003730383
Haylee Mcmahon , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1013746171

Chemical Dependency Counselor Assistant

NPI 1013896562
Breanna Cole

Community/Behavioral Health

NPI 1023870011
Eva Pettit

Case Management

NPI 1033756879

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2026

Record deactivated on June 18, 2026

NPI Profile Active September 19, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 19, 2016

Registered at 2801 C CT, ASHTABULA, OH 440044577 (Tel: 4409984210)

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Updated Business Mailing Address September 19, 2016

Registered at 80 W 44TH ST APT 6, ASHTABULA, OH 440046957 (Tel: 4403196899)

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Provider Name / Credentials Updated September 19, 2016

Recorded as KELLIE BUTLER

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2016

Social Worker (License #I.1600675 in OH)

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Initial NPI Registration & Enumeration September 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962950022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2016
Last Update: September 19, 2016
Deactivation Date: June 18, 2026

Mailing Address

80 W 44th St Apt 6

Ashtabula, OH 440046957

Phone: 4403196899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.