NPIMap

Organization Active NPI

KC Center for Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
National Provider Identifier
1669989703
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KC CENTER FOR HEALTH AND WELLNESS, LLC
Practice address
3793 Green Rd
Beachwood, OH 44122-5705
Phone
(216) 242-2990
Fax
(216) 455-5436
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Ashley King, MSN, AGNP-CNPI 1013455146
Title
Ceo/Founder
Phone
(440) 339-0218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

3793 Green Rd
Beachwood, OH 44122-5705

Mailing address

11811 Shaker Blvd Ste 123
Cleveland, OH 44120-1927
Phone (162) 232-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180328002988 OH Part B Supplier - Clinic/Group Practice 9234491341 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Beachwood, OH

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
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.

Locations

11811 Shaker Blvd
Ste 123
Cleveland, OH 44120
Phone (216) 242-2990

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1669989703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 SHAKER BLVD STE 123",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201927",
            "telephone_number": "162-232-5302",
            "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": "216-242-2990",
            "fax_number": "216-455-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CENTER FOR HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "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/FOUNDER",
        "authorized_official_telephone_number": "440-339-0218",
        "authorized_official_credential": "MSN, AGNP-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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • 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.