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

Kelly L Henderson, CMS, QMHS, RA

Individual provider Case Manager/Care Coordinator · NPI 1043153729

Kelly L Henderson, CMS, QMHS, RA is a Case Manager/Care Coordinator in Youngstown, Ohio. Works from 4 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2026
Specialties on file
3
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Practice location Address checks out

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone: (330) 797-0070
Fax: (330) 797-9146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 320 High St Ne, Warren, OH 44481-1222 — (330) 797-0070
  • 550 W Chalmers Ave, Youngstown, OH 44511-1576 — (330) 797-0070
  • 8255 South Ave, Youngstown, OH 44512-6483 — (330) 797-0070

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)
Prevention Professional Taxonomy 405300000X · Licence RA.164902 (OH)
Community Health Worker Taxonomy 172V00000X (OH)

Record details

NPI number1043153729
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMS , QMHS , RA
Sole proprietorNo
NPI enumeratedApril 9, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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