Individual provider Active NPI

Kelsey Joan Armentrout

  • Mental Health Counselor
  • Kent, OH
National Provider Identifier
1689229379
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1700608 Issued in OH
Practice address
7766 Windy Hill Dr
Kent, OH 44240-6214
Phone
(330) 915-2907
NPI assigned
Aug 8, 2019
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X C.1700608 OH Primary

Addresses

Primary practice location

7766 Windy Hill Dr
Kent, OH 44240-6214

Mailing address

7766 Windy Hill Dr
Kent, OH 44240-6214
Phone (330) 915-2907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002590 OH Practitioner - Mental Health Counselor 5395185813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1700608OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation Mental Health CurrentSince Apr 19, 2024 Accepting new patients
Wellness Grove, LLC Mental Health PastSince Oct 1, 2022 Accepting new patients
Wellness Grove LLC Mental Health PastSince Jul 21, 2024 Accepting new patients
Lisa Borchert Dba Avenues of Counseling Mental Health Past Accepting new patients

Locations

843 N Cleveland Massillon Rd
Ste 6
Fairlawn, OH 44333
Phone (330) 723-7977

843 N Cleveland Massillon Rd
Ste 9
Fairlawn, OH 44333

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1689229379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 WINDY HILL DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406214",
            "telephone_number": "330-915-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 WINDY HILL DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406214",
            "telephone_number": "330-915-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTROUT",
        "first_name": "KELSEY",
        "middle_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1700608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.