Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelley Christine Mirra

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871200089

Kelley Christine Mirra is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

5500 S Marginal Rd Ste 110
Cleveland, OH 44103-1009
Phone: (216) 221-7588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence S2202721 (OH)

Record details

NPI number1871200089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2022
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

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