Active NPI
Kelsey Raymondi
- Mental Health Counselor
- North Canton, OH
National Provider Identifier
1396407326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2303831
- Practice address
- 1201 S Main St Ste 100
North Canton, OH 44720-4283 - Phone
- (330) 244-8782
- NPI assigned
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2303831 | OH | |
| Mental Health Counselor | 101YM0800X | E.2303831 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162626 | ||
| Mental Health Counselor | 101YM0800X | C.2103800 | OH | |
| Professional Counselor | 101YP2500X | C.2103800 | OH |
Addresses
Primary practice location
1201 S Main St Ste 100
North Canton, OH 44720-4283
Mailing address
1201 S Main St Ste 100
North Canton, OH 44720-4283
Phone (330) 244-8782
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C.2103800 | Other | OH | COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD |
| E.2303831 | Other | OH | COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD |
| LICDC.162626 | Other | OH | CHEMICAL DEPENDENCY PROFESSIONALS BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2103800 | OH | MD | Mental Health Counselor |
| E.2303831 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1396407326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S MAIN ST STE 100",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447204283",
"telephone_number": "330-244-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST STE 100",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447204283",
"telephone_number": "330-244-8782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMONDI",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2303831",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2303831",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "LICDC.162626",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2103800",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2103800",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD",
"identifier": "C.2103800",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD",
"identifier": "E.2303831",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY PROFESSIONALS BOARD",
"identifier": "LICDC.162626",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.