Individual provider Active NPI

Kelly R Harmon, LPCC

  • Mental Health Counselor
  • Hudson, OH
National Provider Identifier
1780055939
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1700274 Issued in OH
Practice address
115 Executive Pkwy Ste 400
Hudson, OH 44236-1693
Phone
(234) 269-6200
Fax
(234) 602-2192
NPI assigned
Oct 14, 2015
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.1700274 OH
Mental Health Counselor 101YM0800X E.1700274 OH Primary

Addresses

Primary practice location

115 Executive Pkwy Ste 400
Hudson, OH 44236-1693

Mailing address

115 Executive Pkwy Ste 400
Hudson, OH 44236-1693
Phone (234) 269-6200

Other identifiers 1

IdentifierTypeStateIssuer
0243586MedicaidOH

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
I20240108004081 OH Practitioner - Mental Health Counselor 1759446750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jones-Wood Psychological Associates IncGroup PAC ID 6507086253, 22 clinicians

Practice addresses (Care Compare)

591 Boston Mills Rd
Suite 550
Hudson, OH 44236-1160
Phone (234) 269-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1700274OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jones-Wood Psychological Associates, Inc. Counselor CurrentSince Jan 1, 2024 Accepting new patients
Gary Robinson & Associates LLC CurrentSince Feb 23, 2020 Accepting new patients

Locations

9826 Washington St
Chagrin Falls, OH 44023
Phone (440) 708-0188

115 Executive Pkwy
Ste 400
Hudson, OH 44236
Phone (234) 269-6200

591 Boston Mills Rd
Ste 550
Hudson, OH 44236
Phone (234) 269-6200

190 Currie Hall Pkwy
Kent, OH 44240
Phone (330) 673-5812

Organizations & group practices 2

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1780055939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EXECUTIVE PKWY STE 400",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361693",
            "telephone_number": "234-269-6200",
            "fax_number": "234-602-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EXECUTIVE PKWY STE 400",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361693",
            "telephone_number": "234-269-6200",
            "fax_number": "234-602-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1700274",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.