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

Kellie Clay

Individual provider Registered Nurse · NPI 1043766769

Kellie Clay is a Nurse Practitioner in Cincinnati, Ohio. Qualified in 2023, 3 years ago. Practices with Counseling Source Inc, a 49-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
3
Licensed in
KY, OH
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

446 Morgan St
Cincinnati, OH 45206-2348
Phone: (833) 510-4357
Fax: (866) 460-2997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 N Main St, Nicholasville, KY 40356-1134 — (833) 510-4357

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0035099 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 477656 (OH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4010380 (KY)

Record details

NPI number1043766769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Counseling Source Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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