Kellie Nicole Kiernan, L.P.C., A.T-R

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C 1100330 Issued in OH

Practice address

750 Cross Pointe Rd Ste D
Gahanna, OH 43230-6692

Phone

(614) 568-6979

Fax

(937) 998-1118

NPI assigned

May 31, 2013

Last updated

Oct 9, 2020By the provider in NPPES

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

Locations

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.

• A Child and Family Psychiatry LLC

  • Child & Adolescent Psychiatry Physician
  • Gahanna, OH
  • NPI 1760930853
  NPD

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1619314655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CROSS POINTE RD STE D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306692",
            "telephone_number": "614-568-6979",
            "fax_number": "937-998-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CROSS POINTE RD STE D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306692",
            "telephone_number": "614-568-6979",
            "fax_number": "937-998-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "KELLIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., A.T-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C 1100330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Kern, MD
• Jennifer Kessler, LPCC
• Jennifer Renee Keswani, D.O.
• Keystone Chiro Center, LLC
• Whitney C. Khaira, PA-C
• Ella King, MS, FNP-BC, RN
• Jamie Lynn King, PT, DPT
• Megan A King, DO
• Katelyn Elizabeth Kinkead, APRN-CNP, CPNP-PC
• Adam Kirkland, MD

• Professional Counselor in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.