Active NPI
Kelly Knupp
- Professional Counselor
- Akron, OH
National Provider Identifier
1982029039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1200159
- Practice address
- 282 W Bowery St
Akron, OH 44307-2573 - Phone
- (330) 996-4600
- Fax
- (330) 643-0767
- NPI assigned
- Feb 26, 2014
- Last updated
- Feb 26, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1200159 | OH | Primary |
Addresses
Primary practice location
282 W Bowery St
Akron, OH 44307-2573
Mailing address
282 W Bowery St
Akron, OH 44307-2573
Phone (330) 996-4600
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 |
|---|---|---|---|
| C.1200159 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastoral Counseling Service of Summit Co Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1073925624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1982029039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 W BOWERY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443072573",
"telephone_number": "330-996-4600",
"fax_number": "330-643-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 W BOWERY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443072573",
"telephone_number": "330-996-4600",
"fax_number": "330-643-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUPP",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1200159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.