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Kelli M Blue , LPC

Counselor β€’ Massillon, OH

Active NPI 1407392681 Individual Practitioner Female Practitioner
Practice location in NPPES

1680 Nave Rd Se
Massillon, OH 446469604

Call 3308308740 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1680 Nave Rd Se

Massillon, OH 446469604

Telephone 3308308740
Fax 3308300912
Organization at the Same NPPES Address or Phone
Quest Recovery And Prevention Services Facility NPI 1578512752

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Massillon and Ohio

7 active clinicians are listed under Counselor with a practice address in Massillon, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH C1801245

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0266998 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Rebecca Ajah , MSW, LISW

Social Worker - Clinical

NPI 1053881847

Master of Social Work, Licensed Independent Social Worker

Megan Hawk

Nurse Practitioner - Psychiatric/Mental Health

NPI 1578983870
NPI 1225076631

MSNCPMHNP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 03, 2018

Registered at 1680 NAVE RD SE, MASSILLON, OH 446469604 (Tel: 3308308740)

πŸ‘€
Provider Name / Credentials Updated December 03, 2018

Recorded as KELLI BLUE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2018

Counselor (license number reported to NPPES: OH C1801245)

βœ…
NPI Profile Active January 12, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 12, 2017

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

πŸ“
Business Mailing Address (Initial Record) January 12, 2017

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

πŸ‘€
Provider Name / Credentials (Initial Record) January 12, 2017

Recorded as KELLI BLUE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2017

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration January 12, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407392681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2017
Last Update: December 03, 2018
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.