Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Anderson

Individual provider Professional Counselor · NPI 1750800017

Kyle Anderson is an Undefined Non-Physician Type (Specify) in Bucyrus, Ohio. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2458 Stetzer Rd
Bucyrus, OH 44820-2066
Phone: (419) 562-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 Bartson Rd, Fremont, OH 43420-9672 — (419) 332-5524

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1750800017
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address1404 Park Ave W, Ontario, OH 44906-2719

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Bucyrus