Organization Active NPI

Kairos Wellness Center, LTD

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1184496747
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KAIROS WELLNESS CENTER, LTD
Practice address
1611 Akron Peninsula Rd Ste a
Akron, OH 44313-7931
Phone
(330) 767-9758
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
April N Young, LPCC-S, MFTNPI 1164938262
Title
Mental Health Therapist
Phone
(330) 696-2647

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X

Addresses

Primary practice location

1611 Akron Peninsula Rd Ste a
Akron, OH 44313-7931

Mailing address

1611 Akron Peninsula Rd Ste a
Akron, OH 44313-7931
Phone (330) 767-9758

National Provider Directory

National Provider Directory

Locations

1611 Akron Peninsula Rd
Ste A
Akron, OH 44313
Phone (330) 767-9758

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1184496747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 AKRON PENINSULA RD STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137931",
            "telephone_number": "330-767-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 AKRON PENINSULA RD STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137931",
            "telephone_number": "330-767-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS WELLNESS CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "330-696-2647",
        "authorized_official_credential": "LPCC-S, MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 26, 2023; 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.