Kelly Selover, LPCC-S, NCC, CDCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0700326 Issued in OH

Practice address

7905 Schatz Pointe Dr Ste 104
Washington Township, OH 45459-0001

Phone

(937) 426-2113

Fax

(937) 426-2114

NPI assigned

Oct 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Innersight Counseling Professionals LLC

  • Mental Health Counselor
  • Washington Township, OH
  • NPI 1538445549
  NPD Authorized official

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1124338223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453710383",
            "telephone_number": "937-426-2113",
            "fax_number": "937-426-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 SCHATZ POINTE DR STE 104",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454590001",
            "telephone_number": "937-426-2113",
            "fax_number": "937-426-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELOVER",
        "first_name": "KELLY",
        "credential": "LPCC-S, NCC, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "0700326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Washington Township, OH
• Providers in Washington Township, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.