KELLY L HENDERSON CMS, QMHS, RA - NPI 1043153729 - Case Manager/Care Coordinator in Youngstown, OH

Q: What is Kelly Henderson's NPI number?

The NPI number for Kelly Henderson is 1043153729. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Q: What is Kelly Henderson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Henderson was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly L Henderson Cms, Qmhs, Ra NPPES

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

KELLY L HENDERSON CMS, QMHS, RA (NPI 1043153729) is an individual case manager/care coordinator provider in Youngstown, Ohio and active in the NPI registry since April 2026. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043153729

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLY L HENDERSONCredential: CMS, QMHS, RA

Location Address527 N MERIDIAN RDYoungstown, OH 44509-1227

Mailing Address527 N Meridian RdYoungstown, OH 44509-1227 · (330) 797-0070 · Fax (330) 797-9146

Phone(330) 797-0070

Fax(330) 797-9146

Sole ProprietorNo

Enumeration DateApril 9, 2026

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1043153729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedPrevention ProfessionalTaxonomy 405300000X · License RA.164902 (OH)

527 N MERIDIAN RD, Youngstown, OH 44509

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Secondary Practice Locations 3

Location 1320 High St NEWarren, OH 44481-1222 · Phone (330) 797-0070 · Fax (330) 797-9146

Location 28255 South AveYoungstown, OH 44512-6483 · Phone (330) 797-0070 · Fax (330) 797-9146

Location 3550 W Chalmers AveYoungstown, OH 44511-1576 · Phone (330) 797-0070 · Fax (330) 797-9146

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.

EVELYN C CLARK LPCC-S

Counselor (Professional)