Active NPI
KC Center for Health and Wellness, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KC CENTER FOR HEALTH AND WELLNESS, LLC
- Practice address
- 3793 Green Rd
Beachwood, OH 44122-5705 - Phone
- (216) 232-5302
- Fax
- (216) 393-3690
- NPI assigned
- Nov 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley King, APRN-C
- Title
- Ceo
- Phone
- (216) 232-5302
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
3793 Green Rd
Beachwood, OH 44122-5705
Mailing address
3793 Green Rd
Beachwood, OH 44122-5705
Phone (216) 232-5302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba KC Center for Health and Wellnes, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beachwood, OH
- NPI 1346883717
O20180328002988
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beachwood, OH
- NPI 1669989703
O20180328002988
National Provider Directory
National Provider Directory- Tax ID family
- KC Center for Health and Wellness LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba KC Center for Health and Wellnes, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beachwood, OH
- NPI 1346883717
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beachwood, OH
- NPI 1669989703
Locations
3793 Green Rd
Beachwood, OH 44122
Phone (216) 232-5302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Beachwood, OH
- NPI 1013455146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1013672195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3793 GREEN RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225705",
"telephone_number": "216-232-5302",
"fax_number": "216-393-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3793 GREEN RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225705",
"telephone_number": "216-232-5302",
"fax_number": "216-393-3690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC CENTER FOR HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-03",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "216-232-5302",
"authorized_official_credential": "APRN-C"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.