ALEXANDRA MAY KELLY CT
NPI 1013532472
Counselor - Mental Health in Beachwood, OH

Q: What is Alexandra Kelly's NPI number?

The NPI number for Alexandra Kelly is 1013532472. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Q: What is Alexandra Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Kelly was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2020PECOS Enrolled

24200 CHAGRIN BLVD, BEACHWOOD, OH 44122(440) 578-8200 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Jun 11, 2020 (2 updates tracked since 2020).

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About Alexandra May Kelly Ct NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA MAY KELLY CT (NPI 1013532472) is an individual mental health provider in Beachwood, Ohio, licensed in Ohio (E.2404719) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013532472

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALEXANDRA MAY KELLYCredential: CT

Location Address24200 CHAGRIN BLVDBeachwood, OH 44122-5550

Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200

Phone(440) 578-8200

Sole ProprietorYes

Enumeration DateJune 11, 2020

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1013532472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E.2404719

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

24200 CHAGRIN BLVD, Beachwood, OH 44122

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Secondary Practice Locations 2

Location 122001 Fairmount BlvdShaker Heights, OH 44118-4819 · Phone (216) 932-2800

Location 2960 Graham Rd Unit 3Cuyahoga Falls, OH 44221 · Phone (330) 606-9262

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra May Kelly Ct is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE HASSELL

Licensed Practical Nurse