KC Center for Health and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KC CENTER FOR HEALTH AND WELLNESS, LLC

Doing business as

KC Center for Health and Wellnes, LLC

Practice address

3793 Green Rd
Beachwood, OH 44122-5705

Phone

(216) 232-5302

Fax

(216) 393-3690

NPI assigned

Oct 18, 2019

Organization subpart

No

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

Authorized official

Name

Ashley King, NP-C

Title

Ceo

Phone

(216) 232-5302

Specialties & licenses 3

Addresses

Other names 1

• KC Center for Health and Wellnes, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• KC Center for Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
  • NPI 1013672195

  O20180328002988

  Same enrollment
• KC Center for Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
  • NPI 1669989703

  O20180328002988

  Same enrollment

Tax ID family

KC Center for Health and Wellness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• KC Center for Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
  • NPI 1013672195
  NPD tax ID
• KC Center for Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
  • NPI 1669989703
  NPD tax ID

Practitioners 1

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

• Quinta Eni Tangoh

  • Psychiatric/Mental Health Nurse Practitioner
  • Warrensville Heights, OH
  • NPI 1871188367
  NPD

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1346883717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225705",
            "telephone_number": "216-232-5302",
            "fax_number": "216-393-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225705",
            "telephone_number": "216-232-5302",
            "fax_number": "216-393-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CENTER FOR HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-232-5302",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC Center for Health and Wellnes, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KC Center for Health and Wellnes, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa J Kaufman, PT
• Navneet Kaur, M.D.
• Anurag Kaw
• Edward Anthony Kawa Sr., OPTICIAN
• KC Center for Health and Wellness, LLC
• KC Center for Health and Wellness, LLC
• John A Keenan, PSYD
• Christopher David Keiper, PH.D.
• Marlene Keith
• Stephen Kelbach, R.P.A.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.