Active NPI
Kellie Hurley
- Addiction (Substance Use Disorder) Counselor
- Kenton, OH
National Provider Identifier
1669178133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 191273
- Practice address
- 875 E Columbus St
Kenton, OH 43326-2601 - Phone
- (567) 295-9934
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 191273 | OH | Primary |
Addresses
Primary practice location
875 E Columbus St
Kenton, OH 43326-2601
Mailing address
875 E Columbus St
Kenton, OH 43326-2601
Phone (567) 295-9934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669178133 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191273 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1669178133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 E COLUMBUS ST",
"city": "KENTON",
"state": "OH",
"postal_code": "433262601",
"telephone_number": "567-295-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 E COLUMBUS ST",
"city": "KENTON",
"state": "OH",
"postal_code": "433262601",
"telephone_number": "567-295-9934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "KELLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "191273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669178133",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.