Individual provider Active NPI

Alyssa Marie Kelly, LIMFT

  • Marriage & Family Therapist
  • Akron, OH
National Provider Identifier
1215274675
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.2100193 Issued in OH
Practice address
18 N Forge St
Akron, OH 44304-1317
Phone
(330) 762-0591
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X
Marriage & Family Therapist 106H00000X F.2100193 OH Primary

Addresses

Primary practice location

18 N Forge St
Akron, OH 44304-1317

Mailing address

18 N Forge St
Akron, OH 44304-1317
Phone (330) 762-0591

Other practice location 1

778 Silverberry Ln
Hudson, OH 44236-1297
Phone (617) 851-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317002289 OH Practitioner - Marriage and Family Therapist 1951823202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance & Family Solutions CurrentSince Jan 5, 2025 Accepting new patients

Locations

87 N Canton Rd
Akron, OH 44305
Phone (330) 733-7993

18 N Forge St
Akron, OH 44304
Phone (330) 762-0591

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1215274675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041317",
            "telephone_number": "330-762-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041317",
            "telephone_number": "330-762-0591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "778 Silverberry Ln",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "OH",
            "postal_code": "442361297",
            "country_code": "US",
            "telephone_number": "617-851-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "LIMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2100193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.