KELLY SELOVER (NPI# 1124338223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124338223 |
| Entity Type | Individual |
| Full Name | KELLY SELOVER |
| Credential | PCC-S, NCC, CDCA |
| Practice Address |
3171 Beaver Vu Dr Suite C Beavercreek OH 45434-6397 |
| Mailing Address |
Po Box 383 Tipp City OH 45371-0383 |
| Practice Telephone | 9374262113 |
| Practice Fax Number | 9374262114 |
| Mailing Telephone | 9374262113 |
| Mailing Fax Number | 9374262114 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0700326 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3171 BEAVER VU DR SUITE C |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45434-6397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538445549 | Innersight Counseling Professionals LLC | Counselor | 3171 Beaver Vu Dr, Suite C, Beavercreek, OH 45434-6397 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
| 1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
| 1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
| 1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
| 1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
| 1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
| 1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
| 1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
| 1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
| Find all providers in zip 45434 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417224551 | Meredith Allison Schulz | Counselor | 2365 Lakeview Dr Ste B, Beavercreek, OH 45431-3639 | 2011-11-17 |
| 1699972729 | Thurman Lloyd Drake Jr. | Counselor | 3655 E Patterson Rd, Beavercreek, OH 45430-1329 | 2007-07-02 |
| 1710181425 | Karen Zondervan | Counselor | 25003 S Beeson Rd, Beavercreek, OR 97004-9783 | 2007-06-14 |
| 1093932808 | Bruce E. Kline Psyd & Associates | Counselor | 1411 N Fairfield Rd Ste B, Beavercreek, OH 45432-2683 | 2007-04-20 |
| 1871638353 | Sally V Benner | Counselor | 1195 Meadow Bridge Dr Ste B, Beavercreek, OH 45434-4302 | 2007-02-21 |
| 1780781328 | Patricia A. Gooding | Counselor | 4027 Colonel Glenn Hwy, Suite 305, Beavercreek, OH 45431-1673 | 2006-09-17 |
| 1134734981 | Melanie Solano | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2020-09-09 |
| 1225695349 | Jill Bloomer | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2019-05-23 |
| 1558927350 | Kira Settingsgaard | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2019-05-16 |
| 1790249811 | Linda Hylton | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2019-01-23 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45434 |
Please comment or provide details below to improve the information on KELLY SELOVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.