KELLIE E KING FECIUCH LPC NPI 1609148824

NPI Information

NPI: 1609148824
Provider Name: KELLIE E KING FECIUCH, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
4200 MUNSON ST NW
SUITE A
CANTON, OH
ZIP 44718
Phone: (330) 915-2907
Get Directions

Kellie E King Feciuch, LPC is a professional counselor in Canton, OH with 12 years of experience. Kellie E King Feciuch, LPC NPI is 1609148824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4200 MUNSON ST NW
SUITE A
CANTON, OH
ZIP 44718-981
Phone: (330) 915-2907
Fax: (330) 915-2958

The NPI 1609148824 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/2/2012 and was last updated on 5/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA120077	OHIO	No
2	101YP2500X	Counselor	Professional	E1800659	OHIO	No
3	101YP2500X	Counselor	Professional	E.1800659-SUPV	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0273516	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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