DR. WILLIAM JEFFREY KELLY PH.D.
NPI 1609842616
Counselor in Akron, OH
NPI Status: Active since February 28, 2006
Contact Information
640 W MARKET ST
AKRON, OH
ZIP 44303
Phone: (330) 762-5425
Fax: (330) 762-4019
- Individual
- Male
- Years of Experience 41
- Counselor
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About WILLIAM KELLY
This page provides the complete NPI Profile along with additional information for William Kelly, a provider established in Akron, Ohio with a medical specialization in Counselor and more than 41 years of experience. The healthcare provider is registered in the NPI registry with number 1609842616 assigned on February 2006. The practitioner's primary taxonomy code is 101Y00000X with license number 3727 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1609842616
- Provider Name
- DR. WILLIAM JEFFREY KELLY PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 640 W MARKET ST AKRON, OH 44303
- Location Phone
- (330) 762-5425
- Location Fax
- (330) 762-4019
- Mailing Address
- 640 W MARKET ST AKRON, OH 44303
- Mailing Phone
- (330) 762-5425
- Mailing Fax
- (330) 762-4019
- Medical School Name
- OTHER
- Graduation Year
- 1985
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-28-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3727
- License State
- OH
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
CP06101 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH |
Medicare Participation & PECOS Enrollment Status
William Kelly is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
William Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5698940286
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20111209000312
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 0 | 9 | 8 | 4 | 2 | 6 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 0 | 9 | 16 | 4 | 4 | 6 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 0 + 9 + 1 + 6 + 4 + 4 + 6 + 2 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1609842616 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1366428690 | MS. MARY S DAUS LISW Individual | Counselor (Mental Health) | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1801837430 | BLICK CLINIC, INC. Organization | Counselor (Mental Health) | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1013049907 | MICHELE Y GUNTHER S.P.L Individual | Speech-Language Pathologist | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1598897498 | BONNY KING O.T. Individual | Occupational Therapy Assistant | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1073645891 | LISA DIETSCHE P.T. Individual | Physical Therapist | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1003940800 | KATHY J PETERSON P.T. Individual | Physical Therapist | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1760516082 | ELIZABETH M RISSMILLER M.A. CCC/SLP Individual | Speech-Language Pathologist | 640 W MARKET ST AKRON, OH 44303 (330) 762-7542 |
1043422017 | LAURA PLETCHER L.I.S.W. Individual | Social Worker (Clinical) | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1043427800 | KARIN LOPPER-ORR S.W. Individual | Social Worker (Clinical) | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1801093059 | MRS. SUZANNE MARIE GIUFFRE P.T. Individual | Physical Therapist | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1679760367 | KATHERINE ANN GELGOTA O.T.R./L Individual | Occupational Therapist | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1992978233 | ELIZABETH FERGUSON R.N. Individual | Registered Nurse | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1639342900 | CAROLYN HALL R.N. Individual | Registered Nurse | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1245403088 | KAREN NOFTSINGER P.T.A. Individual | Physical Therapy Assistant | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1174770986 | VALLERY DEON LITTLE L.P.N. Individual | Licensed Practical Nurse | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1669610762 | SHARON CRETSINGER LISW Individual | Social Worker (Clinical) | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1982845202 | MEGAN M HAUSER MA, CFY, SLP, Individual | Speech-Language Pathologist | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1740550904 | KATIE JOYNER SLP Individual | Speech-Language Pathologist | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1780946178 | REBECCA ERIN HUTCHINS LISW Individual | Social Worker (Clinical) | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
1932459146 | BENJAMIN P SHORES Individual | Social Worker | 640 W MARKET ST AKRON, OH 44303 (330) 762-5425 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609842616, enumerated in the NPI registry as an "individual" on February 28, 2006
The provider is located at 640 W Market St Akron, Oh 44303 and the phone number is (330) 762-5425
The provider's speciality is Counselor with taxonomy code 101Y00000X
The provider has more than 41 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on February 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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