Kelsey Evelyn Cohn, BPH

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12557 Ravenwood Dr
Chardon, OH 44024-9009

Phone

(440) 285-3568

Fax

(440) 285-4552

NPI assigned

Dec 19, 2022

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Ravenwood Mental Health Center

  • Addiction (Substance Use Disorder) Counselor
  • Chardon, OH
  • NPI 1912265794
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1194437301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W POINTE CT",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242810",
            "telephone_number": "440-226-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12557 RAVENWOOD DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249009",
            "telephone_number": "440-285-3568",
            "fax_number": "440-285-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 South St",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440241474",
            "country_code": "US",
            "telephone_number": "440-285-3568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8251 Mayfield Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Chesterland",
            "state": "OH",
            "postal_code": "440262567",
            "country_code": "US",
            "telephone_number": "440-285-3568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16030 E High St",
            "address_purpose": "LOCATION",
            "city": "Middlefield",
            "state": "OH",
            "postal_code": "440629474",
            "country_code": "US",
            "telephone_number": "440-632-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHN",
        "first_name": "KELSEY",
        "middle_name": "EVELYN",
        "credential": "BPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Clark
• Megan Elizabeth Clark, DPM
• Vicki Lyne Clark, M.ED.
• Dawn Cochran
• Stephanie Cohen, OTR/L
• Elise Victoria Colacicco
• Debra Colantonio
• Kristen Colella, LISW-S
• Mark Colella
• Eleanor Coleman

• Case Manager/Care Coordinator in Chardon, OH
• Providers in Chardon, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.