KRISTEN GIDEL KELLY (NPI# 1467905075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467905075 |
| Entity Type | Individual |
| Full Name | KRISTEN GIDEL KELLY |
| Credential | LPCC, LICDC, CTTS |
| Practice Address |
384 Streamwater Dr Blacklick OH 43004-8132 |
| Practice Telephone | 4193449079 |
| Mailing Telephone | 4193449079 |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2016-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.1110035 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DEPARTMENT OF VETERANS AFFAIRS | 757 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617612 | Kristen Kelly | Physician Assistant | 31 W Maple Rd, Greenlawn, NY 11740-1024 | 2020-07-28 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1710516711 | Kristen A Kelly | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-02 |
| 1962983270 | Kristen Irene Kelly | Occupational Therapy Assistant | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2018-08-24 |
| 1356845101 | Kristen Mchugh Kelly | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2018-03-19 |
| 1265942809 | Kristen D Kelly | Occupational Therapist | 2865 Chancellor Dr Ste 105, Crestview Hills, KY 41017-3913 | 2017-10-10 |
| 1023470945 | Kristen Joy Kelly | Student in an Organized Health Care Education/Training Program | 1679 E Main St, Suite 102, El Cajon, CA 92021-5212 | 2016-03-22 |
| 1558798181 | Kristen Kelly | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2013-09-27 |
| 1336576081 | Kristen Michelle Kelly | Social Worker | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2013-09-26 |
| 1518393750 | Kristen M Kelly | Chore Provider | 3111 Winton Rd S, Rochester, NY 14623-2905 | 2013-09-19 |
| Street Address |
384 STREAMWATER DR |
| City | BLACKLICK |
| State | OH |
| Zip Code | 43004-8132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919191 | Deborah Byrd | Homemaker | 1571 Morrison Farms Dr, Blacklick, OH 43004 | 2020-10-12 |
| 1477106706 | Star of The East Home Health Agency | Home Health | 634 Streamwater Dr, Blacklick, OH 43004 | 2019-07-16 |
| 1568965689 | Amerti Mekonnen Terefe | Registered Nurse | 579 Altona Drive, Blacklick, OH 43004 | 2018-03-15 |
| 1134643471 | Gahanna Home Healthcare Agency, LLC | Private Vehicle | 7451 Bunker Ridge Ct, Blacklick, OH 43004 | 2017-07-28 |
| 1770972143 | Aetna Provider Service | In Home Supportive Care | 8514 Arlen Drive, Blacklick, OH 43004 | 2015-01-22 |
| 1295134666 | Elisee Ndenga | Contractor | 442 Stone Shadow Dr, Blacklick, OH 43004 | 2014-08-21 |
| 1215368121 | Stacia Barnhill | Home Health Aide | 215 Bexhill Dr, Blacklick, OH 43004 | 2013-12-02 |
| 1720328016 | Roland Lovinsky | Licensed Practical Nurse | 7795 Worley Drive, Blacklick, OH 43004 | 2013-02-22 |
| 1477815892 | Kingsley Eyong Enow | Licensed Practical Nurse | 301 Heatherbridge Lane, 301 Heatherbridge Lane, Blacklick, OH 43004 | 2012-06-12 |
| 1013208271 | Wilberforce Eric Okotah | Licensed Practical Nurse | 7928 Waggoner Trace Drive, Blacklick, OH 43004 | 2011-04-22 |
| Find all providers in zip 43004 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861487 | The Clarity Couch | Counselor | 12600 Rockside Rd Ste 172, Garfield Hts, OH 44125-4525 | 2020-11-06 |
| 1225639610 | Denea Lois Ridley | Counselor | 1625 California Ave, Cincinnati, OH 45237-5603 | 2020-11-03 |
| 1447850508 | Butler County Community Health Consortium, Inc. | Counselor | 3260 Oxford Millville Rd Ste B, Oxford, OH 45056-9430 | 2020-10-28 |
| 1649879248 | Calypso Counseling, LLC | Counselor | 77 W Elmwood Dr Ste 303, Dayton, OH 45459-4270 | 2020-10-23 |
| 1689273534 | Stephanie Homan | Counselor | 317 E Royal Forest Blvd, Columbus, OH 43214-2129 | 2020-10-21 |
| 1063011187 | Solara Counseling, LLC | Counselor | 6338 Snider Rd Unit 674, Mason, OH 45040-5127 | 2020-10-20 |
| 1982203246 | Kimberly Fuller, Lisw, LLC | Counselor | 2291 W 38th St, Cleveland, OH 44113-3867 | 2020-10-19 |
| 1255930467 | Jessica Becka LLC | Counselor | 5206 Tillman Ave, Cleveland, OH 44102-2248 | 2020-10-19 |
| 1487251187 | Kara Archer | Counselor | 224 Columbus Rd # 724, Athens, OH 45701-1334 | 2020-10-06 |
| 1629675541 | Shayna Mell | Counselor | 4542 Wilburn Dr, Cleveland, OH 44121-3863 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
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| 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.