Lisa Kelley

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP00703 Issued in OH

Practice address

466 N Cassady Ave
Bexley, OH 43209-1027

Phone

(614) 371-7293

NPI assigned

Apr 20, 2023

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Youth Wellbeing Center LLC

  dba Youthrive Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bexley, OH
  • NPI 1841084100
  Authorized official Same address or phone

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1376230284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 N CASSADY AVE",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432091027",
            "telephone_number": "614-371-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 N CASSADY AVE",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432091027",
            "telephone_number": "614-371-7293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "834 S Cassingham Rd",
            "address_purpose": "LOCATION",
            "city": "Bexley",
            "state": "OH",
            "postal_code": "432092435",
            "country_code": "US",
            "telephone_number": "614-371-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP.00703",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP00703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Daugherty DDS LLC
• Michelle Catherine Jones
• Heather Kabler
• Brian Kapel
• India Keith
• Anne Marie Kessler, M.D.
• Kanza Khan, MBBS
• Ashley Kraker, SLP
• Lifeline Home Care LLC
• Katherine Anne Lowe

• School Psychologist in Bexley, OH
• Providers in Bexley, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.