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KAELYN RAE SANFORD
NPI 1295325694
Marriage & Family Therapist in Canton, OH

Active since January 20, 2021PECOS EnrolledAccepts Medicare Assignment
624 MARKET AVE N, CANTON, OH 44702(330) 453-4553(330) 493-3761 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2024, Mar 13, 2023, Jan 20, 2021 (3 updates tracked since 2021).

About Kaelyn Rae Sanford NPPES

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

KAELYN RAE SANFORD (NPI 1295325694) is an individual marriage & family therapist in Canton, Ohio, licensed in Ohio (F2400425) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295325694
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKAELYN RAE SANFORD
Location Address624 MARKET AVE NCanton, OH 44702-1017
Mailing Address624 Market Ave NCanton, OH 44702-1017 · (330) 453-4553 · Fax (330) 493-3761
Phone(330) 453-4553
Fax(330) 493-3761
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 20, 2021
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1295325694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in OH · F2400425✔ Licensed in OH · M2000200TRNE✔ Licensed in OH · M2100189
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
624 MARKET AVE N, Canton, OH 44702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaelyn Rae Sanford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385164987
PECOS Enrollment IDI20250226002501
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 Kaelyn Sanford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Rising Behavioral Healthcare And Recovery, Inc
Same address
Rehabilitation, Substance Use Disorder
624 MARKET AVE N
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 42 clinicians in this Medicare group
NPI 1710238613 (330) 493-4553

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 20

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

DEBRA ANN CASEY
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 479-1912
BRENDAN ROWE LPCC
Counselor (Professional)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
LAURA MEGAN ELLIOTT-HECKAMAN B.A.
Case Manager/Care Coordinator
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
DAMONTA MCCLENDON
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 479-1912
MARK WOODS
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 454-7066
DEBORAH F VAUGHAN LPC
Counselor (Mental Health)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
TERRI HUDSON
Social Worker
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
SUSAN STROUP LISW
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 454-7066

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 Kaelyn Sanford's NPI number?

The NPI number for Kaelyn Sanford is 1295325694. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Kaelyn Sanford located?

Kaelyn Sanford practices at 624 Market Ave N, Canton, OH 44702. The listed phone number is (330) 453-4553.

What is Kaelyn Sanford's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kaelyn Sanford enrolled in Medicare?

Yes. Kaelyn Sanford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kaelyn Sanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaelyn Sanford reassigns Medicare benefits to Phoenix Rising Behavioral Healthcare And Recovery, Inc (Canton, 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 Kaelyn Sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaelyn Sanford accept?

Health plans from MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and SummaCare list Kaelyn Sanford 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 Kaelyn Sanford was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.