Veronica Kelly-Lewis, BA, MS.ED. QMHS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

167140 Issued in OH

Practice address

8532 Mentor Ave
Mentor, OH 44060-5822

Phone

(440) 205-1008

Fax

(440) 205-1047

NPI assigned

Nov 8, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1902319379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605822",
            "telephone_number": "440-205-1008",
            "fax_number": "440-205-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605822",
            "telephone_number": "440-205-1008",
            "fax_number": "440-205-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-LEWIS",
        "first_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "BA, MS.ED. QMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "167140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kaseda
• Jillian Marie Kay, LPN
• Rebecca Keefe
• Nicole Kelleher
• Wendy J Kelley, LISW-S
• Thomas Patrick Kelly
• Kemper House Mentor
• Rona Kempert
• Kenneth H Lawrence DDS, Inc
• Selina Maria Kerestesy

• Addiction (Substance Use Disorder) Counselor in Mentor, OH
• Providers in Mentor, 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 Oct 31, 2018; 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.