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MRS. K. MICHELLE KELLY LSW, LPCC
NPI 1073934105
Counselor - Professional in Wooster, OH

Active since December 16, 2013PECOS Enrolled
2587 BACK ORRVILLE RD, WOOSTER, OH 44691(330) 264-9579(330) 264-0946 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. K. Michelle Kelly Lsw, Lpcc NPPES

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

MRS. K. MICHELLE KELLY LSW, LPCC (NPI 1073934105) is an individual professional provider in Wooster, Ohio, licensed in Ohio (E.1300607) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1073934105
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. K. MICHELLE KELLYCredential: LSW, LPCC
Location Address2587 BACK ORRVILLE RDWooster, OH 44691-9523
Mailing Address2587 Back Orrville RdWooster, OH 44691-9523 · (330) 264-9579 · Fax (330) 264-0946
Phone(330) 264-9579
Fax(330) 264-0946
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 16, 2013
Last NPPES UpdateApril 5, 2016
✔ NPI 1073934105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.1300607
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License C.1300607 (OH)
Also ListedSocial WorkerTaxonomy 104100000X · License S.0025386 (OH)
2587 BACK ORRVILLE RD, Wooster, OH 44691
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, 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)

Mrs. K. Michelle Kelly Lsw, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860964533
PECOS Enrollment IDI20260612003575
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.

MR. JOSEPH N MESSNER MA, LPCC-S
Counselor (Professional)
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
JAMIE L SHAW BA QMHS
Social Worker
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
KRISTINA M PETTORINI BA, QMHS
Case Manager/Care Coordinator
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
CHRISTOPHER CLYDE
Counselor
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-7597
SARAH CHRISTINE GONZALES
Case Manager/Care Coordinator
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
JADE HARRIS QMHS
Social Worker
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
ANAZAO COMMUNITY PARTNERS
Community/Behavioral Health
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597
MRS. VICKY L POMARICO MA, CPC, LPCC-S
Counselor (Professional)
2587 BACK ORRVILLE RD
WOOSTER, OH 44691
Wayne County (330) 264-9597

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is K. Kelly's NPI number?

The NPI number for K. Kelly is 1073934105. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Where is K. Kelly located?

K. Kelly practices at 2587 Back Orrville Rd, Wooster, OH 44691. The listed phone number is (330) 264-9579.

What is K. Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is K. Kelly enrolled in Medicare?

Yes. K. Kelly is registered in the Medicare PECOS enrollment system.

What insurance does K. Kelly accept?

Health plans from CareSource, MedMutual and Molina Healthcare list K. Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for K. Kelly was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.