Kellen Nebelski, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1600028 Issued in OH

Practice address

680 High St Ste a
Wadsworth, OH 44281-1690

Phone

(330) 690-2337

NPI assigned

Feb 4, 2014

Last updated

Dec 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wolf Creek Wellness LLC

  • Addiction (Substance Use Disorder) Counselor
  • Wadsworth, OH
  • NPI 1003355090
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1013330505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HIGH ST STE A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811690",
            "telephone_number": "306-902-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HIGH ST STE A",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811690",
            "telephone_number": "330-690-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBELSKI",
        "first_name": "KELLEN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1600028",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1500025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brinkman Allen Murray, D.O.
• Diane Marie Myers, RN
• Lauren Myers
• Lisa Christine Myers, RPH
• Myeyedr Optometry of Ohio, LLC (MyEyeDr.)
• Garland Nelson
• Neurology and Neuroscience Associates, Inc.
• New Bridges Counseling
• Tiffany Noriega
• North Hill Orthopaedic Surgery, Inc.

• Professional Counselor in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.