KATHY SODERGREN (LPCC/S, LSW) – Professional Counselor, NPI 1891811212

KATHY SODERGREN (LPCC/S, LSW) is a healthcare provider. based in Lisbon, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC/S, LSW. They hold a License No. E0003895 (OH). The NPI Number for KATHY SODERGREN (LPCC/S, LSW) is 1891811212

Main info

Female
26 Years Of Experience
Name
KATHY SODERGREN (LPCC/S, LSW)
NPI
1891811212
Phone
(330) 424-9573
Address
40722 State Route 154
Enumeration Date
21 March 2007
Last Update Date
5 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2342545656
Graduation Year
2000 (26 years ago)
PAC ID
1153773122
Group Practice PAC ID
3375901929
Professional Enrollment ID
I20240116002444
Address ID
OH439208728EA45875RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for KATHY SODERGREN (LPCC/S, LSW)

  • 40722 State Route 154

    Lisbon, OH 444328500

    Phone: (330) 424-9573

    Fax: (330) 424-0877

    Type: Location

  • 430 HILLSIDE DR

    EAST PALESTINE, OH 444139758

    Phone: (330) 424-9573

    Fax: (330) 424-0877

    Type: Mailing

  • 45875 BELL SCHOOL RD STE B

    EAST LIVERPOOL, OH 439208728

    Phone: (330) 397-6007

    Fax: (234) 254-5655

    Type: Location

  • 40722 STATE ROUTE 154

    LISBON, OH 444328500

    Phone: (330) 424-9573

    Fax: (330) 424-0877

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240116002444IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44432)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375901929View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What unique ID ties claims to KATHY SODERGREN (LPCC/S, LSW)?
NPI 1891811212 is assigned to KATHY SODERGREN (LPCC/S, LSW) under the national enumeration system.
Does this profile mean KATHY SODERGREN (LPCC/S, LSW) is currently active?
Yes — KATHY SODERGREN (LPCC/S, LSW) appears active in the national provider directory.
What kind of provider is KATHY SODERGREN (LPCC/S, LSW)?
The page reflects Professional Counselor for KATHY SODERGREN (LPCC/S, LSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHY SODERGREN (LPCC/S, LSW)?
The page summarizes Lisbon, Ohio for KATHY SODERGREN (LPCC/S, LSW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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