Active NPI
Kellie Kirksey, LPCC
- Counselor
- Canfield, OH
National Provider Identifier
1730350851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E0004216
- Practice address
- 3837 Starrs Centre Dr
Canfield, OH 44406-8064 - Phone
- (330) 533-1870
- Fax
- (330) 533-3484
- NPI assigned
- Mar 17, 2008
- Last updated
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | E0004216 | OH | Primary |
Addresses
Primary practice location
3837 Starrs Centre Dr
Canfield, OH 44406-8064
Mailing address
8577 E Market St
Warren, OH 44484-2345
Phone (330) 856-6663
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 |
|---|---|---|---|
| E0004216 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1730350851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8577 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444842345",
"telephone_number": "330-856-6663",
"fax_number": "330-856-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3837 STARRS CENTRE DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444068064",
"telephone_number": "330-533-1870",
"fax_number": "330-533-3484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKSEY",
"first_name": "KELLIE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0004216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.