Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407392681 Individual Practitioner Female Practitioner

Kelli M Blue , LPC

Counselor • Massillon, OH

Professional Overview & Biography Verified Profile Summary

Kelli Blue, LPC is a registered healthcare professional specializing in Counselor in Massillon, OH. Practice services are available at 1680 NAVE RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1680 Nave Rd Se

Massillon, OH 446469604

Telephone 3308308740
Fax 3308300912
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Massillon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Massillon, OH (4163 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0266998 (OH)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kelly Mccarthy , LCDCII

Counselor - Addiction (Substance Use Disorder)

NPI 1043736192
Jennifer Jinks , RN

Registered Nurse

NPI 1053719146

Registered Nurse

Patricia Hayes , LPN

Licensed Practical Nurse

NPI 1053839183

Licensed Practical Nurse

Rebecca Ajah , MSW, LISW

Social Worker - Clinical

NPI 1053881847

Master of Social Work, Licensed Independent Social Worker

Tiffany Stephan , LPC

Counselor - Mental Health

NPI 1063726263

Licensed Professional Counselor

Matthew Bell , CDCA, PRS

Counselor - Addiction (Substance Use Disorder)

NPI 1083257463

Chemical Dependency Counselor Assistant, PRS

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 03, 2018

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

👤
Provider Name / Credentials Updated December 03, 2018

Recorded as KELLI BLUE, LPC

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

Counselor (License #C1801245 in OH)

NPI Profile Active January 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2017

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

📍
Updated Business Mailing Address January 12, 2017

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

👤
Provider Name / Credentials Updated January 12, 2017

Recorded as KELLI BLUE

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

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.