Active NPI
Kelly Fusco, PMHNP BC
- Psychiatric/Mental Health Nurse Practitioner
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRNCNP0027901
- Practice address
- 611 W Market St
Akron, OH 44303-1411 - Phone
- (330) 996-4600
- Fax
- (330) 564-9296
- NPI assigned
- Feb 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN355706 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRNCNP0027901 | OH | Primary |
Addresses
Primary practice location
611 W Market St
Akron, OH 44303-1411
Mailing address
611 W Market St
Akron, OH 44303-1411
Phone (330) 996-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN355706 | OH | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| APRNCNP0027901 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Community Services Inc | Current | Accepting new patients | |
| Axess Family Services Inc | Current | Accepting new patients | |
| Family & Community Services, Inc | Current | Accepting new patients | |
| Axess Family Services Inc | Current | Accepting new patients | |
| Axess Family Services Inc | Current | Accepting new patients |
Locations
1400 S Arlington St
Unit 38
Akron, OH 44306
Phone (330) 724-5471
390 Robinson Ave
Ste E
Barberton, OH 44203
Phone (330) 564-2697
143 Gougler Ave
Kent, OH 44240
Phone (330) 673-1016
771 N Freedom St
Ravenna, OH 44266
Phone (330) 296-5552
5968 New Milford Rd
Ravenna, OH 44266
150 E Market St
Warren, OH 44481
Phone (330) 394-6244
318 Mahoning Ave NW
Warren, OH 44483
Phone (330) 394-6342
4970 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-8237
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Akron, OH
- NPI 1548214935
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warren, OH
- NPI 1750607057
-
- Federally Qualified Health Center (FQHC)
- Barberton, OH
- NPI 1356604680
-
- Federally Qualified Health Center (FQHC)
- Ravenna, OH
- NPI 1437944923
-
- Addiction (Substance Use Disorder) Counselor
- Kent, OH
- NPI 1952662108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1043759459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031411",
"telephone_number": "330-996-4600",
"fax_number": "330-564-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031411",
"telephone_number": "330-996-4600",
"fax_number": "330-564-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSCO",
"first_name": "KELLY",
"credential": "PMHNP BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-17",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "OH",
"license": "RN355706",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRNCNP0027901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.