Kelly E Warkentin, MHA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.2608552 Issued in OH

Practice address

8402 Blackjack Rd
Mount Vernon, OH 43050-9193

Phone

(479) 981-2543

NPI assigned

Sep 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1881096766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 BLACKJACK RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509193",
            "telephone_number": "479-981-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 BLACKJACK RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509193",
            "telephone_number": "479-981-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARKENTIN",
        "first_name": "KELLY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MHA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2608552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881096766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.