NICOLE KELLEHER
NPI 1326552183
Social Worker - Clinical in Mentor, OH

Q: What is Nicole Kelleher's NPI number?

The NPI number for Nicole Kelleher is 1326552183. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Q: What is Nicole Kelleher's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Kelleher was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 30, 2017PECOS Enrolled

9930 JOHNNYCAKE RIDGE RD STE 4F, MENTOR, OH 44060(440) 579-5100 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Apr 21, 2022, Nov 7, 2018 and 1 more (4 updates tracked since 2017).

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About Nicole Kelleher NPPES

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

NICOLE KELLEHER (NPI 1326552183) is an individual clinical provider in Mentor, Ohio, licensed in Ohio (I.2203556) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326552183

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE KELLEHER

Location Address9930 JOHNNYCAKE RIDGE RD STE 4FMentor, OH 44060-6762

Mailing Address9930 Johnnycake Ridge Rd Ste 4fMentor, OH 44060-6762 · (440) 579-5100

Phone(440) 579-5100

Sole ProprietorYes

Enumeration DateNovember 30, 2017

Last NPPES UpdateMarch 27, 20234 updates tracked since enumeration

NPPES CertifiedMarch 27, 2023

✔ NPI 1326552183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I.2203556

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

9930 JOHNNYCAKE RIDGE RD STE 4F, Mentor, OH 44060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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)

Nicole Kelleher 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

KATIE A MARCHINCHIN MA, P.C.C

Counselor (Mental Health)