KELSEY RAYMONDI NPI 1396407326

NPI Information

NPI: 1396407326
Provider Name: KELSEY RAYMONDI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1201 S MAIN ST STE 100
NORTH CANTON, OH
ZIP 44720
Phone: (330) 244-8782
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Kelsey Raymondi is a mental health counselor in North Canton, OH. Kelsey Raymondi NPI is 1396407326. 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:

1201 S MAIN ST STE 100
NORTH CANTON, OH
ZIP 44720-283
Phone: (330) 244-8782

The NPI 1396407326 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 10/7/2021 and was last updated on 10/17/2023.

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)	CDCA.174900	OHIO	No
2	101YM0800X	Counselor	Mental Health	C.2103800	OHIO	No
3	101YP2500X	Counselor	Professional	E.2303831	OHIO	No
4	101YP2500X	Counselor	Professional	C.2103800	OHIO	No
5	101YM0800X	Counselor	Mental Health	E.2303831	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	CDCA.174900	OTHER	OHIO	CHEMICAL DEPENDENCY PROFESSIONALS BOARD
2	E.2303831	OTHER	OHIO	COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD
3	C.2103800	OTHER	OHIO	COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD

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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