Kelley Christine Mirra, is a
Case Manager/care Coordinator based in Cleveland, Ohio. Kelley Christine Mirra is licensed to practice in * (Not Available) (license number ) and her current practice location is
5500 S Marginal Rd Ste 110, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 221-7588.
NPI number for Kelley Christine Mirra is 1871200089 and her current mailing address is 1801 Watermark Dr, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871200089.
Healthcare Provider's Profile
| Full Name | Kelley Christine Mirra |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 5500 S Marginal Rd Ste 110, Cleveland, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871200089
- Provider Enumeration Date: 10/28/2022
- Last Update Date: 12/12/2025
Medical Identifiers
Medical identifiers for Kelley Christine Mirra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871200089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | S2202721 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley Christine Mirra is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelley Christine Mirra,
1801 Watermark Dr,
Columbus, OH 43215-7088
Ph: (614) 487-8758 | Kelley Christine Mirra,
5500 S Marginal Rd Ste 110,
Cleveland, OH 44103-1009
Ph: (216) 221-7588 |
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