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PATRICK C KELLEY LCDCIII, QMHS
NPI 1659868941
Counselor in Coal Grove, OH

Active since April 23, 2018
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638(740) 533-0648(740) 353-1662 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2023, Jun 20, 2023, Feb 8, 2022 and 2 more (5 updates tracked since 2018).

About Patrick C Kelley Lcdciii, Qmhs NPPES

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

PATRICK C KELLEY LCDCIII, QMHS (NPI 1659868941) is an individual counselor in Coal Grove, Ohio, licensed in Ohio (C.2305166-TRNE) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1659868941
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NamePATRICK C KELLEYCredential: LCDCIII, QMHS
Location Address225 CARLTON DAVIDSON LNCoal Grove, OH 45638-2924
Mailing Address901 Washington StPortsmouth, OH 45662-3944 · (740) 354-7702 · Fax (740) 353-1662
Phone(740) 533-0648
Fax(740) 353-1662
Sole ProprietorNo
Enumeration DateApril 23, 2018
Last NPPES UpdateSeptember 5, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1659868941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · C.2305166-TRNE
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCDCIII.162407 (OH)
225 CARLTON DAVIDSON LN, Coal Grove, OH 45638
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Other Identifiers 1

Medicaid0361745OH

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.

JUSTIN TRIPLETT LPN
Registered Nurse
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
MRS. KAYLA JEAN KELLEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-6280
COURTNEY HAYDEN
Case Manager/Care Coordinator
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
DANIEL J CARDONA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
ERIC DEPRIEST
Social Worker (School)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
SHAWNEE MENTAL HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-6280
JOHN HOCEVAR
Counselor (Professional)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
MRS. VALERIE A PATRICK LSW
Counselor (Mental Health)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 355-8606

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 Patrick Kelley's NPI number?

The NPI number for Patrick Kelley is 1659868941. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Patrick Kelley located?

Patrick Kelley practices at 225 Carlton Davidson Ln, Coal Grove, OH 45638. The listed phone number is (740) 533-0648.

What is Patrick Kelley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Patrick Kelley was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.