KELLY EADES CDCA
NPI 1992423727
Counselor in Fairborn, OH

Active since August 18, 2022
302 W MAIN ST, FAIRBORN, OH 45324(937) 281-4673(937) 318-1120 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, Oct 30, 2023, Aug 18, 2022 (3 updates tracked since 2022).

About Kelly Eades Cdca NPPES

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

KELLY EADES CDCA (NPI 1992423727) is an individual counselor in Fairborn, Ohio, licensed in (LCDCII.162034) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1992423727
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY EADESCredential: CDCA
Location Address302 W MAIN STFairborn, OH 45324-5037
Mailing Address100 Crowne Point PlCincinnati, OH 45241-5427 · (513) 743-7628 · Fax (513) 737-1107
Fax(937) 318-1120
Sole ProprietorNo
Enumeration DateAugust 18, 2022
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1992423727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed · LCDCII.162034
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 CDCA.181467 (OH)
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
302 W MAIN ST, Fairborn, OH 45324

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.

Social Worker
302 W MAIN ST
FAIRBORN, OH 45324
Counselor (Addiction (Substance Use Disorder))
302 W MAIN ST
FAIRBORN, OH 45324
Counselor (Addiction (Substance Use Disorder))
302 W MAIN ST
FAIRBORN, OH 45324
Counselor (Professional)
302 W MAIN ST
FAIRBORN, OH 45324
Social Worker
302 W MAIN ST
FAIRBORN, OH 45324
Family Medicine
302 W MAIN ST
FAIRBORN, OH 45324
Counselor (Mental Health)
302 W MAIN ST
FAIRBORN, OH 45324
Counselor (Addiction (Substance Use Disorder))
302 W MAIN ST
FAIRBORN, OH 45324

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 Eades's NPI number?

The NPI number for Kelly Eades is 1992423727. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Kelly Eades located?

Kelly Eades practices at 302 W Main St, Fairborn, OH 45324. The listed phone number is (937) 281-4673.

What is Kelly Eades'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 Kelly Eades was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.