Active NPI
Kelsey Jean Albert, LPCC
- Professional Counselor
- New Philadelphia, OH
National Provider Identifier
1124527262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1700482
- Practice address
- 1433 5TH St NW
New Philadelphia, OH 44663-1223 - Phone
- (330) 343-8171
- Fax
- (330) 343-8439
- NPI assigned
- Feb 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1700482 | OH | Primary |
Addresses
Primary practice location
1433 5TH St NW
New Philadelphia, OH 44663-1223
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Phone (330) 343-8171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0260983 | Medicaid | OH | |
| E.1700482 | Other | OH | LICENSE |
Other names 1
- Kelsey Jean McIlvain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1700482 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1124527262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 EASTLAND RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171217",
"telephone_number": "330-343-8171",
"fax_number": "330-343-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 5TH ST NW",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446631223",
"telephone_number": "330-343-8171",
"fax_number": "330-343-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "KELSEY",
"middle_name": "JEAN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1700482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0260983",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "E.1700482",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "MCILVAIN",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Philadelphia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.