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

Mrs. K. Michelle Kelly, LSW, LPCC

Individual provider Pastoral Counselor · NPI 1073934105

Mrs. K. Michelle Kelly, LSW, LPCC is a Mental Health Counselor in Wooster, Ohio. Qualified in 2002, 24 years ago. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2013
Specialties on file
3
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

2587 Back Orrville Rd
Wooster, OH 44691-9523
Phone: (330) 264-9579
Fax: (330) 264-0946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.1300607 (OH)
Pastoral Counselor Taxonomy 101YP1600X · Licence C.1300607 (OH)
Social Worker Taxonomy 104100000X · Licence S.0025386 (OH)

Record details

NPI number1073934105
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW , LPCC
Sole proprietorNo
NPI enumeratedDecember 16, 2013
Last updated in NPPESApril 5, 2016

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare