Kelly Kennard, LPC, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C1801257 Issued in OH

Practice address

1680 Nave Rd SE
Massillon, OH 44646

Phone

(330) 830-8740

Fax

(330) 830-0912

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1700373586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021805",
            "telephone_number": "330-455-0374",
            "fax_number": "330-453-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 NAVE RD SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44646",
            "telephone_number": "330-830-8740",
            "fax_number": "330-830-0912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Noble Dr",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446915353",
            "country_code": "US",
            "telephone_number": "330-264-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "KELLY",
        "credential": "LPC, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1801257",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1800071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0291227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Keeney, LPCC-S
• Shanika Ann Kelly
• Wendy Michelle Kelly
• Angel Kemp
• Tracy Kendall, RPH
• Dustin Keith Kern, LICDC, LSW
• Theresa M Kesic, LSW, CDCA
• Adrian Nicole Kessler
• Hallie Kester
• Taylor Layne Kettering, APRN

• Mental Health Counselor in Massillon, OH
• Providers in Massillon, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.