JOHN P. KELLY LPC
NPI 1215455316
Counselor - Professional in Newton Falls, OH

Active since September 08, 2017PECOS Enrolled
175 E BROAD ST, NEWTON FALLS, OH 44444(330) 872-2010(330) 884-6120 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John P. Kelly Lpc NPPES

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

JOHN P. KELLY LPC (NPI 1215455316) is an individual professional provider in Newton Falls, Ohio, licensed in Ohio (C.1500834) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215455316
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN P. KELLYCredential: LPC
Location Address175 E BROAD STNewton Falls, OH 44444-1708
Mailing Address3237 Kirk RdYoungstown, OH 44511-2147
Fax(330) 884-6120
Sole ProprietorYes
Enumeration DateSeptember 8, 2017
✔ NPI 1215455316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.1500834
175 E BROAD ST, Newton Falls, OH 44444

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John P. Kelly Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show John Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
175 E BROAD ST
Newton Falls, OH 44444
  • Reassigned Medicare billing, Ohio enrollment
  • 62 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Clinic/Center
175 E BROAD ST
NEWTON FALLS, OH 44444
Nurse Practitioner (Family)
175 E BROAD ST
NEWTON FALLS, OH 44444
Clinic/Center (Federally Qualified Health Center (FQHC))
175 E BROAD ST
NEWTON FALLS, OH 44444
Pharmacy (Community/Retail Pharmacy)
175 E BROAD ST
NEWTON FALLS, OH 44444

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 John Kelly's NPI number?

The NPI number for John Kelly is 1215455316. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is John Kelly located?

John Kelly practices at 175 E Broad St, Newton Falls, OH 44444. The listed phone number is (330) 872-2010.

What is John Kelly's specialty?

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

Is John Kelly enrolled in Medicare?

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

Which organization bills Medicare for John Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Kelly reassigns Medicare benefits to Ohio North East Health Systems, Inc. (Newton Falls, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list John 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 John Kelly was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.