Linda Kelso

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E2821 Issued in OH

Practice address

1575 Marion Ave
Mansfield, OH 44906-3409

Phone

(419) 529-9941

Fax

(419) 529-0496

NPI assigned

Jan 22, 2007

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

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.

• New Directions Eap Inc.

  • Counselor
  • Mansfield, OH
  • NPI 1295887222
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215081054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063409",
            "telephone_number": "419-529-9941",
            "fax_number": "419-529-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063409",
            "telephone_number": "419-529-9941",
            "fax_number": "419-529-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E2821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Kellogg
• Zanaireah Kelly Davis
• Courtney Kelly
• Kathryn Kelly, L.AC.
• Rebecca Kelly, CDCA
• Terry L Kemmerer, CRNA
• Juliana Marie Kemp
• Marissa Jane Kemper
• Brittany P Kempf, BA, CDCA
• Susan K Kempf

• Counselor in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.