Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083188643 Individual Practitioner Male Practitioner

Timothy Kelly

Case Manager/Care Coordinator • Independence, OH

Professional Overview & Biography Verified Profile Summary

Timothy Kelly is a registered healthcare professional specializing in Case Manager/Care Coordinator in Independence, OH. Practice services are available at 6200 ROCKSIDE WOODS BLVD N STE 305 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6200 Rockside Woods Blvd N Ste 305

Independence, OH 441312343

Telephone 2344105775
Associated Practice Facility / Clinic
🏢 Ohio Mentor, Inc. Facility NPI 1861568990

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Independence, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
132 Specialists

Practicing in Independence, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-08
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA.183151

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Social Worker

NUCC Taxonomy Code: 104100000X

State License OH S.2202740-TRNE

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Joshua Holsopple

Social Worker

NPI 1033719968
NPI 1043713662

Master of Arts, Licensed Professional Counselor

NPI 1114544731
Duane Dukles , LPCC-S

Counselor - Professional

NPI 1134246341

LPCCS

Eppalonian Isaac , LPCC

Counselor - Professional

NPI 1144638396

Licensed Professional Clinical Counselor

Ida Ndunda

Case Manager/Care Coordinator

NPI 1184318016

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location August 08, 2024

Registered at 6200 ROCKSIDE WOODS BLVD N STE 305, INDEPENDENCE, OH 441312343 (Tel: 2344105775)

📍
Updated Business Mailing Address August 08, 2024

Registered at 21231 WILMORE AVE, EUCLID, OH 441232823 (Tel: 2344105775)

📍
Updated Practice Location April 19, 2024

Registered at 8411 BROADWAY AVE STE 3932, CLEVELAND, OH 441053932 (Tel: 2164410200)

📍
Updated Business Mailing Address April 19, 2024

Registered at 8411 BROADWAY AVE STE 3932, CLEVELAND, OH 441053932 (Tel: 2164410200)

📍
Updated Practice Location February 22, 2023

Registered at 1744 PAYNE AVE, CLEVELAND, OH 441142910 (Tel: 2166236555)

📍
Updated Business Mailing Address February 22, 2023

Registered at 1744 PAYNE AVE, CLEVELAND, OH 441142910 (Tel: 2166236555)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2023

Counselor (License #CDCA.183151 in OH)

📍
Updated Practice Location March 15, 2022

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

📍
Updated Business Mailing Address March 15, 2022

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

NPI Profile Active January 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2019

Registered at 1563 EAST BLVD, CLEVELAND, OH 441061720 (Tel: 3308099503)

📍
Updated Business Mailing Address January 31, 2019

Registered at 1563 EAST BLVD, CLEVELAND, OH 441061720 (Tel: 3308099503)

👤
Provider Name / Credentials Updated January 31, 2019

Recorded as TIMOTHY KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2019

Peer Specialist

🟢
Initial NPI Registration & Enumeration January 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083188643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2019
Last Update: August 08, 2024
Sole Proprietor: Yes

Mailing Address

21231 Wilmore Ave

Euclid, OH 441232823

Phone: 2344105775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.