KELLY KENNARD LPC MFT NPI 1700373586

NPI Information

  • NPI: 1700373586
  • Provider Name: KELLY KENNARD, LPC, MFT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1680 NAVE RD SE
    MASSILLON, OH
    ZIP 44646
  • Phone: (330) 830-8740

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NPI Details

Kelly Kennard, LPC, MFT is a mental health counselor in Massillon, OH. Kelly Kennard, LPC, MFT NPI is 1700373586. 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:

1680 NAVE RD SE
MASSILLON, OH
ZIP 44646
Phone: (330) 830-8740
Fax: (330) 830-0912

The enumeration date for this NPI number is 4/17/2018 and was last updated on 2/20/2019.

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
1101YM0800XCounselorMental HealthC1801257OHIOYes
2106H00000XMarriage & Family TherapistM.1800071OHIONo

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
10291227MEDICAIDOHIO

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: 3/30/2025

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