KELLEY CHRISTINE MIRRA - NPI 1871200089 - Case Manager/Care Coordinator in Cleveland, OH

Q: What is Kelley Mirra's NPI number?

The NPI number for Kelley Mirra is 1871200089. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Q: What is Kelley Mirra's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Mirra was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

On this page

About Kelley Christine Mirra NPPES

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

KELLEY CHRISTINE MIRRA (NPI 1871200089) is an individual case manager/care coordinator provider in Cleveland, Ohio and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1871200089

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLEY CHRISTINE MIRRA

Location Address5500 S MARGINAL RD STE 110Cleveland, OH 44103-1009

Mailing Address1801 Watermark DrColumbus, OH 43215-7088 · (614) 487-8758

Phone(216) 221-7588

Sole ProprietorYes

Enumeration DateOctober 28, 2022

Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1871200089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License S2202721 (OH)

5500 S MARGINAL RD STE 110, Cleveland, OH 44103

Open in Google Maps ↗

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.

HEATHER HALL

Community Health Worker