Kira Sue Van Der Laar, LISW - Medicare Counselor in Green Springs, OH

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Kira Sue Van Der Laar, LISW is a medicare enrolled "Counselor - Mental Health" provider in Green Springs, Ohio. Her current practice location is 430 N Broadway St, Green Springs, Ohio. You can reach out to her office (for appointments etc.) via phone at (844) 534-3638.

Kira Sue Van Der Laar is licensed to practice in Ohio (license number I.1901397) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689276263.

Contact Information

Kira Sue Van Der Laar, LISW
430 N Broadway St,
Green Springs, OH 44836-9734
(844) 534-3638
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKira Sue Van Der Laar
GenderFemale
SpecialityCounselor - Mental Health
Location430 N Broadway St, Green Springs, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689276263
  • Provider Enumeration Date: 11/10/2020
  • Last Update Date: 04/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880051820
  • Enrollment ID: I20230606001954

Medical Identifiers

Medical identifiers for Kira Sue Van Der Laar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689276263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health I.1901397 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kira Sue Van Der Laar allows following entities to bill medicare on her behalf.
Entity Name360team Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881277242
PECOS PAC ID: 5991109662
Enrollment ID: O20210803003751

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kira Sue Van Der Laar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kira Sue Van Der Laar, LISW
400 W Madison St,
Gibsonburg, OH 43431-1221

Ph: (567) 201-6450		Kira Sue Van Der Laar, LISW
430 N Broadway St,
Green Springs, OH 44836-9734

Ph: (844) 534-3638

Reviews and Comments


Counselor in Green Springs, OH

Nancy Lee Romans, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 430 N Broadway St, Green Springs, OH 44836
Phone: 419-307-9128    Fax: 567-686-1412
Jessica Kitchin, M.S., LICDC-CS, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 430 N Broadway St, Green Springs, OH 44836
Phone: 419-307-9128    
Sheyanne L Estep, RMA, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 429 N Broadway St, Green Springs, OH 44836
Phone: 419-904-5638    Fax: 567-686-1412
Andy James Killian, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 430 N Broadway St Ste B, Green Springs, OH 44836
Phone: 419-307-9128    
Lisa Marie Pugh,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 430 N Broadway St, Green Springs, OH 44836
Phone: 419-307-9128    
Kimberly Callahan,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 430 N Broadway St Ste B, Green Springs, OH 44836
Phone: 567-230-1139    
Shannon Amburgey,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 430 N Broadway St, Green Springs, OH 44836
Phone: 419-707-9498    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.