WILLIAM JOSEPH KELLEY (NPI# 1861023319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861023319 |
| Entity Type | Individual |
| Full Name | WILLIAM JOSEPH KELLEY |
| Practice Address |
14574 Us Highway 23 Waverly OH 45690-9373 |
| Mailing Address |
2097 Western Ave Apt 405 Chillicothe OH 45601-7522 |
| Practice Telephone | 7409476727 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 0001446 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831542836 | William Kelley | Physical Therapist | 3100 Naomi St, Miami, FL 33133-4510 | 2016-07-14 |
| 1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
| 1750436713 | William Duane Kelley Jr. | Chiropractor | 100 Mclay Dr, Elizabeth, PA 15037-2362 | 2007-01-23 |
| 1285782532 | William Kelley | Physician Assistant | 1164 Andrews Rd, Murphy, NC 28906-2898 | 2007-01-05 |
| 1043373384 | William Scott Kelley | Podiatrist | 35 S Spruce St Fl 1, Ramsey, NJ 07446-2549 | 2006-12-18 |
| 1891708897 | William Joseph Kelley | Plastic Surgery | 255 W Florida St, Suite 102, Mandeville, LA 70448-3020 | 2006-08-14 |
| 1962425215 | William M Kelley | Dentist | 780 E Romie Ln Ste F, Salinas, CA 93901-4223 | 2006-07-26 |
| 1376561647 | William H. Kelley | Family Medicine | 7069 Us Highway 67 E, Maud, TX 75567-4583 | 2006-07-17 |
| 1932145976 | William Joseph Kelley | Internal Medicine | 247 N Fireweed St Ste A, Soldotna, AK 99669-7593 | 2006-06-20 |
| 1770555401 | William Bernard Kelley | Specialist | 6001 W Center St, Suite #108, Milwaukee, WI 53210-2154 | 2006-02-06 |
| Street Address |
14574 US HIGHWAY 23 |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-9373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154660868 | Jennifer L Simmons | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2013-02-01 |
| 1093312019 | James Taylor Dawkins | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-10-02 |
| 1134740863 | Phillip Summers | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-05-05 |
| 1306471222 | Luke Mcglone | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-03-11 |
| 1467087387 | Daniel Ramey | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-03-11 |
| 1174172209 | Okey E Richards Jr. | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-09-11 |
| 1043867336 | Charlotte Ann Keplinger | Licensed Practical Nurse | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-08-21 |
| 1285289173 | Andrew Alan Saxby | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-08-07 |
| 1538714605 | Robert Lawson | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-08-06 |
| 1467005892 | James Edward Ashley Van Aelstyn | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285295840 | Emily Demint | Peer Specialist | 16569 State Route 772, Waverly, OH 45690-9354 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.