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KELLY A WIECZOREK LPCC
NPI 1427677921
Counselor - Professional in Independence, OH

Active since April 14, 2020PECOS Enrolled
6500 ROCKSIDE RD STE 385, INDEPENDENCE, OH 44131(216) 468-5000 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Jun 20, 2024, Apr 14, 2020 (3 updates tracked since 2020).

About Kelly A Wieczorek Lpcc NPPES

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

KELLY A WIECZOREK LPCC (NPI 1427677921) is an individual professional provider in Independence, Ohio, licensed in Ohio (E.2404015) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427677921
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY A WIECZOREKCredential: LPCC
Location Address6500 ROCKSIDE RD STE 385Independence, OH 44131-2353
Mailing Address6500 Rockside Rd Ste 385Independence, OH 44131-2353 · (216) 468-5000
Phone(216) 468-5000
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1427677921 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 · E.2404015
6500 ROCKSIDE RD STE 385, Independence, OH 44131
Open in Google Maps ↗

Other Identifiers 1

Medicaid2871101OH

Accepted Insurance

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

Kelly A Wieczorek Lpcc 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 4

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

NICHOLETTE LEANZA LPCC-S
Counselor (Professional)
6500 ROCKSIDE RD STE 385
INDEPENDENCE, OH 44131
Cuyahoga County (216) 468-5000
JENA M IACCO LPCC-S
Counselor (Mental Health)
6500 ROCKSIDE RD STE 385
INDEPENDENCE, OH 44131
Cuyahoga County (216) 468-5000
CORINE ASHLEY MILLER LISW
Social Worker (Clinical)
6500 ROCKSIDE RD STE 385
INDEPENDENCE, OH 44131
Cuyahoga County (216) 468-5000
WHITNEY B HADLEY LCSW
Social Worker (Clinical)
6500 ROCKSIDE RD STE 385
INDEPENDENCE, OH 44131
Cuyahoga County (216) 468-5000

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 Kelly Wieczorek's NPI number?

The NPI number for Kelly Wieczorek is 1427677921. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Kelly Wieczorek located?

Kelly Wieczorek practices at 6500 Rockside Rd Ste 385, Independence, OH 44131. The listed phone number is (216) 468-5000.

What is Kelly Wieczorek's specialty?

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

Is Kelly Wieczorek enrolled in Medicare?

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

What insurance does Kelly Wieczorek accept?

Health plans from CareSource, MedMutual and SummaCare list Kelly Wieczorek 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 Kelly Wieczorek was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.