KELLY ANN MCCOY CDCA
NPI 1649735598
Counselor - Addiction (Substance Use Disorder) in Canton, OH

Active since February 05, 2019
811 FAIRCREST ST SW, CANTON, OH 44706(330) 639-4408(330) 639-4436 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Mccoy Cdca NPPES

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

KELLY ANN MCCOY CDCA (NPI 1649735598) is an individual addiction (substance use disorder) provider in Canton, Ohio, licensed in Ohio (CDCA.168726) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1649735598
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY ANN MCCOYCredential: CDCA
Location Address811 FAIRCREST ST SWCanton, OH 44706-4844
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716
Fax(330) 639-4436
Sole ProprietorNo
Enumeration DateFebruary 5, 2019
NPI 1649735598 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.168726
811 FAIRCREST ST SW, Canton, OH 44706

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
811 FAIRCREST ST SW
CANTON, OH 44706
Counselor (Addiction (Substance Use Disorder))
811 FAIRCREST ST SW
CANTON, OH 44706
Counselor
811 FAIRCREST ST SW
CANTON, OH 44706
Social Worker
811 FAIRCREST ST SW
CANTON, OH 44706
Counselor (Addiction (Substance Use Disorder))
811 FAIRCREST ST SW
CANTON, OH 44706
Social Worker
811 FAIRCREST ST SW
CANTON, OH 44706
Counselor (Professional)
811 FAIRCREST ST SW
CANTON, OH 44706

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 Mccoy's NPI number?

The NPI number for Kelly Mccoy is 1649735598. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Kelly Mccoy located?

Kelly Mccoy practices at 811 Faircrest St SW, Canton, OH 44706. The listed phone number is (330) 639-4408.

What is Kelly Mccoy'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 Kelly Mccoy was last updated on February 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.