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

Q: 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.

Q: What is Kaelyn Sanford's specialty?

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

Q: 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.

Active since January 20, 2021PECOS Enrolled

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: August 09, 2026.

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

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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.

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

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, SummaCare.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)

Kaelyn Rae Sanford 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.

DEBRA ANN CASEY

Peer Specialist