Provider Demographics
NPI:1427355239
Name:KASPER, DANA L (MA, LPC-CR)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:L
Last Name:KASPER
Suffix:
Gender:F
Credentials:MA, LPC-CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 W MAIN ST
Mailing Address - Street 2:203
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2195
Mailing Address - Country:US
Mailing Address - Phone:614-633-5946
Mailing Address - Fax:614-392-5448
Practice Address - Street 1:3 W MAIN ST
Practice Address - Street 2:203
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2195
Practice Address - Country:US
Practice Address - Phone:614-633-5946
Practice Address - Fax:614-392-5448
Is Sole Proprietor?:No
Enumeration Date:2011-02-15
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 1000309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08258Medicaid