MRS. KELLY MARIE PACK


Address: 270 Sterkel Blvd, Mansfield, OH 44907-1508
Phone: 4197561133

MRS. KELLY MARIE PACK (NPI# 1972725448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972725448
Entity Type Individual
Full Name MRS. KELLY MARIE PACK
Credential MSW, LISW-S
Practice Address 270 Sterkel Blvd
Mansfield
OH 44907-1508
Mailing Address 6815 County Road 37
Po Box 9166
Lexington
OH 44904-9694
Practice Telephone 4197561133
Mailing Telephone 4193621597
Enumeration Date 2007-05-03
Last Update Date 2010-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor I0007769 OH Behavioral Health & Social Service Providers

Other Providers KELLY PACK

NPI Name Taxonomy Address Enumeration
1730520651 Kelly R Pack Audiologist-Hearing Aid Fitter 2011 Mall Dr Ste 4, Texarkana, TX 75503-2550 2013-07-08

Office Location

Street Address 270 STERKEL BLVD
City MANSFIELD
State OH
Zip Code 44907-1508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356372593 The Center for Individual & Family Services, Inc. Counselor 270 Sterkel Blvd, Mansfield, OH 44907-1508 2006-07-05
1508466418 Windy L Tennant Case Manager/Care Coordinator 270 Sterkel Blvd, Mansfield, OH 44907-1508 2020-10-29
1275168734 Hannah R Finley Nurse Practitioner 270 Sterkel Blvd, Mansfield, OH 44907-1508 2020-03-05
1417509654 Cassandra J Ganzhorn Social Worker 270 Sterkel Blvd, Mansfield, OH 44907-1508 2019-07-09
1053972752 Cassandra S Hetrick Social Worker 270 Sterkel Blvd, Mansfield, OH 44907-1508 2019-06-24
1003373598 Ashley M. Bierman Behavior Technician 270 Sterkel Blvd, Mansfield, OH 44907-1508 2019-02-21
1740755214 Robert D Nelson Behavior Technician 270 Sterkel Blvd, Mansfield, OH 44907-1508 2018-10-10
1124593165 Andrew W. Miller Marriage & Family Therapist 270 Sterkel Blvd, Mansfield, OH 44907-1508 2018-10-05
1871072108 Hannah L. Harwood Case Manager/Care Coordinator 270 Sterkel Blvd, Mansfield, OH 44907-1508 2018-08-08
1730666538 Connie J Morris Case Manager/Care Coordinator 270 Sterkel Blvd, Mansfield, OH 44907-1508 2018-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053932434 Kerri Nichole Tolliver Licensed Practical Nurse Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 2020-04-27
1790325371 Gabrielle Smith Licensed Practical Nurse 707 Scholl Rd, Mansfield, OH 44907 2020-01-10
1912544982 Heidi L Mathews Behavior Technician 270 Sterkel Blvd., Mansfield, OH 44907 2019-12-09
1851942254 Misty J Kline Licensed Practical Nurse 707 Scholl Rd., Mansfield, OH 44907 2019-09-26
1528533320 Ohio Treatment Center, LLC Clinic/Center 475 Lexington Ave., Mansfield, OH 44907 2018-10-08
1750898722 Hannah Rose Hardin Behavior Technician 1033 Larchwood R, Mansfield, OH 44907 2017-12-29
1932548856 Jessica Alexis Taylor Counselor 641 Scholl Rd., Mansfield, OH 44907 2013-06-25
1336495258 Sonal Sinha Psychiatry & Neurology 341 Cline Ave Ste 1, Mansfield, OH 44907 2012-07-29
1427321579 Tara Kightlinger Community Health Worker 442 Brenda Dr, Mansfield, OH 44907 2012-02-21
1649557620 William Scott Olar Chiropractor 1179 Lexington Ave, Mansfield, OH 44907 2011-11-04
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871103283 Be Still Counseling and Consulting, Pllc Counselor 602 Strada Cir Ste 119, Mansfield, TX 76063-3201 2020-08-01
1407407620 Ryan Edward Rodrigues Counselor 792 S Main St Ste 102, Mansfield, MA 02048-3137 2019-09-28
1356871131 Roger Noe Counselor 652 Holiday Dr, Mansfield, OH 44904-1819 2017-06-14
1497291389 Latieria Edwards Counselor 606 Monroe St, Mansfield, LA 71052-3224 2017-01-16
1962959130 Lakimberly Pratt Edwards Counselor 1048 Park Dr, Mansfield, LA 71052-4812 2016-09-06
1154780880 Jacarri Jackson Counselor 238 Wildwood St, Mansfield, LA 71052-6420 2016-02-23
1619342433 Stanley Cunningham Counselor 125 Canary Lane, Mansfield, LA 71052 2015-12-04
1083036545 Roger Higginbotham Counselor 151 Marion Avenue, Mansfield, OH 44903-2223 2014-01-16
1649608431 Giscard Sarkis Counselor 19 Homefield Dr # Dt, Mansfield, MA 02048-3330 2013-10-15
1932548856 Jessica Alexis Taylor Counselor 641 Scholl Rd., Mansfield, OH 44907 2013-06-25
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 44907

Improve Information

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Dataset Information

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.

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