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KELLI MAE WALLINGFORD CDCA
NPI 1639813025
Counselor - Addiction (Substance Use Disorder) in Georgetown, OH

Active since April 22, 2022
421 HOME ST, GEORGETOWN, OH 45121(513) 834-7063 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2022, Apr 22, 2022 (2 updates tracked since 2022).

About Kelli Mae Wallingford Cdca NPPES

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

KELLI MAE WALLINGFORD CDCA (NPI 1639813025) is an individual addiction (substance use disorder) provider in Georgetown, Ohio, licensed in Ohio (CDCA.179420) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1639813025
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLI MAE WALLINGFORDCredential: CDCA
Location Address421 HOME STGeorgetown, OH 45121-1407
Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · (513) 834-7063
Phone(513) 834-7063
Sole ProprietorNo
Enumeration DateApril 22, 2022
Last NPPES UpdateApril 25, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1639813025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.179420
421 HOME ST, Georgetown, OH 45121
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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.

ALYSSA BEVINS APRN
Nurse Practitioner (Family)
421 HOME ST
GEORGETOWN, OH 45121
Brown County (833) 510-4357
JEFFERSON BLAKE SCHAEFFER CDCA
Counselor (Addiction (Substance Use Disorder))
421 HOME ST
GEORGETOWN, OH 45121
Brown County (513) 834-7063
DEBRA PENCE LPC, LICDC
Counselor (Addiction (Substance Use Disorder))
421 HOME ST
GEORGETOWN, OH 45121
Brown County (833) 510-4357
MISS TRACI LYNNE WARDLOW CDCA
Counselor (Addiction (Substance Use Disorder))
421 HOME ST
GEORGETOWN, OH 45121
Brown County (937) 416-7721
LISA SMITH LCDCII
Counselor (Addiction (Substance Use Disorder))
421 HOME ST
GEORGETOWN, OH 45121
Brown County (833) 510-4357
BRIGHTVIEW LLC
Internal Medicine (Addiction Medicine)
421 HOME ST
GEORGETOWN, OH 45121
Brown County (513) 834-7063
REBECCA KAY HARDYMON LCDCII
Counselor (Addiction (Substance Use Disorder))
421 HOME ST
GEORGETOWN, OH 45121
Brown County (833) 510-4357
DORIS SIGEL LPCC-S
Counselor (Professional)
421 HOME ST
GEORGETOWN, OH 45121
Brown County (513) 834-7063

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 Kelli Wallingford's NPI number?

The NPI number for Kelli Wallingford is 1639813025. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Kelli Wallingford located?

Kelli Wallingford practices at 421 Home St, Georgetown, OH 45121. The listed phone number is (513) 834-7063.

What is Kelli Wallingford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelli Wallingford was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.