KELLY R HARMON LPCC
NPI 1780055939
Counselor - Mental Health in Hudson, OH

Q: What is Kelly Harmon's NPI number?

The NPI number for Kelly Harmon is 1780055939. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Q: What is Kelly Harmon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Harmon was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 14, 2015PECOS EnrolledAccepts Medicare Assignment

115 EXECUTIVE PKWY STE 400, HUDSON, OH 44236(234) 269-6200(234) 602-2192 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2026, Feb 20, 2020 (2 updates tracked since 2020).

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About Kelly R Harmon Lpcc NPPES

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

KELLY R HARMON LPCC (NPI 1780055939) is an individual mental health provider in Hudson, Ohio, licensed in Ohio (E.1700274) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780055939

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY R HARMONCredential: LPCC

Location Address115 EXECUTIVE PKWY STE 400Hudson, OH 44236-1693

Mailing Address115 Executive Pkwy Ste 400Hudson, OH 44236-1693 · (234) 269-6200 · Fax (234) 602-2192

Phone(234) 269-6200

Fax(234) 602-2192

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 14, 2015

Last NPPES UpdateApril 20, 20262 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1780055939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E.1700274

Also ListedCounselorTaxonomy 101Y00000X · License E.1700274 (OH)

115 EXECUTIVE PKWY STE 400, Hudson, OH 44236

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Other Identifiers 1

Medicaid0243586OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly R Harmon Lpcc 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 ID1759446750

PECOS Enrollment IDI20240108004081

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.

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.

MRS. TESSA CLAIRE BASCO LISW

Social Worker (Clinical)