KELLY MARIE HORSFALL
NPI 1639671613
Counselor in Ravenna, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since March 06, 2018PECOS Enrolled

3922 LOVERS LN, RAVENNA, OH 44266(330) 673-1347(330) 678-3677 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly Marie Horsfall NPPES

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

KELLY MARIE HORSFALL (NPI 1639671613) is an individual counselor in Ravenna, Ohio, licensed in Ohio (1000548) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639671613

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKELLY MARIE HORSFALL

Location Address3922 LOVERS LNRavenna, OH 44266-4200

Mailing Address5982 Rhodes RdKent, OH 44240-8100 · (330) 673-1347 · Fax (330) 678-3677

Phone(330) 673-1347

Fax(330) 678-3677

Sole ProprietorNo

Enumeration DateMarch 6, 2018

✔ NPI 1639671613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · 1000548

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3922 LOVERS LN, Ravenna, OH 44266

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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 Marie Horsfall 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.