John P Kelly, LPC | |
175 E Broad St, Newton Falls, OH 44444-1708 | |
(330) 872-2010 | |
(330) 884-6120 |
Full Name | John P Kelly |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 175 E Broad St, Newton Falls, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215455316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C.1500834 (Ohio) | Primary |
Entity Name | Ohio North East Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700917267 PECOS PAC ID: 1951395086 Enrollment ID: O20131028001143 |
Mailing Address | Practice Location Address |
---|---|
John P Kelly, LPC 3237 Kirk Rd, Youngstown, OH 44511-2147 Ph: () - | John P Kelly, LPC 175 E Broad St, Newton Falls, OH 44444-1708 Ph: (330) 872-2010 |
Reagan E Kilpatrick, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 Warren Rd Apt B, Newton Falls, OH 44444 Phone: 330-646-0165 | |
Gabrielle Blake, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Superior St, Newton Falls, OH 44444 Phone: 330-953-0243 | |
Angus Macaulay, COUNSELOR-TRAINEE Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Charles Ct, Newton Falls, OH 44444 Phone: 330-953-0243 | |
Trevor Martin Grosh, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Superior St, Newton Falls, OH 44444 Phone: 330-578-4300 | |
Dakota Rugg, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Charles Ct, Newton Falls, OH 44444 Phone: 330-953-0243 | |
Jennifer Smaltz, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Superior St, Newton Falls, OH 44444 Phone: 330-953-0243 |