Kelley Kaye Ross-Hopkins, LCDCIII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDCIII.121033 Issued in OH

Practice address

3600 W Market St
Fairlawn, OH 44333-4540

Phone

(330) 436-0956

NPI assigned

May 15, 2017

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Enoughcs

  • Mental Health Counselor
  • Canton, OH
  • NPI 1689484263
  NPD

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1871020388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 MOUNT VERNON AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101104",
            "telephone_number": "330-256-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334540",
            "telephone_number": "330-436-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-HOPKINS",
        "first_name": "KELLEY",
        "middle_name": "KAYE",
        "credential": "LCDCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005267",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.121033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438532",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Rodgers, LSW
• Christina D. Romig-Mozena, SLP
• Julie Rose, RPH, PHARMD
• Zachary Rosenberg
• Sheila Rosenthal, QMHS
• Roth Family Medicine,LTD.
• Marta B Roth, MD
• Christopher Angelo Rotolo, D.D.S.
• Cassandra Rose Rubino, SLP
• Ruch Chiropractic Center

• Addiction (Substance Use Disorder) Counselor in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.