Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Janine Vasicek, BS, LCDCIII, GAMBP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477027290

Kelsey Janine Vasicek, BS, LCDCIII, GAMBP is a Mental Health Counselor in Medina, Ohio. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2019
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

555 Independence Dr
Medina, OH 44256-2460
Phone: (330) 635-0969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 162490 (OH)

Record details

NPI number1477027290
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , LCDCIII , GAMBP
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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