KELLY MITCHELL
NPI 1649504788
Counselor - Professional in Barberton, OH

Active since September 22, 2009PECOS EnrolledAccepts Medicare Assignment
771 E STATE ST, BARBERTON, OH 44203(330) 515-0716 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Mitchell NPPES

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

KELLY MITCHELL (NPI 1649504788) is an individual professional provider in Barberton, Ohio, licensed in Connecticut (002382) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1649504788
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY MITCHELL
Location Address771 E STATE STBarberton, OH 44203-3729
Mailing Address41 Old Turnpike RdSouthington, CT 06489-3633
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 22, 2009
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1649504788 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 CT · 002382
771 E STATE ST, Barberton, OH 44203

Other Names 1

Former Name (1)Kelly Carmack

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Mitchell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315465457
PECOS Enrollment IDI20250513002252
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling
3469 FORTUNA DR
Akron, OH 44312
  • Reassigned Medicare billing, Ohio enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mitchell's NPI number?

The NPI number for Kelly Mitchell is 1649504788. It was assigned to this individual provider in the NPPES registry on September 22, 2009. The provider is also known as Kelly Carmack.

Where is Kelly Mitchell located?

Kelly Mitchell practices at 771 E State St, Barberton, OH 44203. The listed phone number is (330) 515-0716.

What is Kelly Mitchell's specialty?

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

Is Kelly Mitchell enrolled in Medicare?

Yes. Kelly Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mitchell reassigns Medicare benefits to Akron Family Institute, Inc. (Akron, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Mitchell accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Kelly Mitchell 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 Mitchell was last updated on April 28, 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.