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REBECCA KELLY CDCA
NPI 1861279036
Counselor - Addiction (Substance Use Disorder) in Mansfield, OH

Active since September 12, 2023
597 PARK AVE E, MANSFIELD, OH 44905(419) 774-3538 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Kelly Cdca NPPES

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

REBECCA KELLY CDCA (NPI 1861279036) is an individual addiction (substance use disorder) provider in Mansfield, Ohio and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1861279036
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameREBECCA KELLYCredential: CDCA
Location Address597 PARK AVE EMansfield, OH 44905-2848
Mailing Address96 Broadway StShelby, OH 44875-1032 · (323) 401-5075
Phone(419) 774-3538
Sole ProprietorYes
Enumeration DateSeptember 12, 2023
Last NPPES UpdateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1861279036 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
597 PARK AVE E, Mansfield, OH 44905
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Other Providers at the Same Location NPPES 4

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

RICHLAND CO. COMMUNITY ALTERNATIVE CENTER
Community/Behavioral Health
597 PARK AVE E
MANSFIELD, OH 44905
Richland County (419) 295-2122
DANIEL S JACKMAN CDCA
Counselor (Addiction (Substance Use Disorder))
597 PARK AVE E
MANSFIELD, OH 44905
Richland County (419) 774-3538
MELANIE NICOLE WALKER CDCA
Counselor (Addiction (Substance Use Disorder))
597 PARK AVE E
MANSFIELD, OH 44905
Richland County (419) 774-5518
ANDREW ALAN BAKER CDCA
Counselor (Addiction (Substance Use Disorder))
597 PARK AVE E
MANSFIELD, OH 44905
Richland County (419) 774-3536

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 Rebecca Kelly's NPI number?

The NPI number for Rebecca Kelly is 1861279036. It was assigned to this individual provider in the NPPES registry on September 12, 2023.

Where is Rebecca Kelly located?

Rebecca Kelly practices at 597 Park Ave E, Mansfield, OH 44905. The listed phone number is (419) 774-3538.

What is Rebecca Kelly'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 Rebecca Kelly was last updated on April 12, 2024. 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.