What is Kelly Black's NPI number?

Kelly Black's National Provider Identifier (NPI) is 1871471177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Black's specialty?

Kelly Black is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Kelly Black located?

Kelly Black's practice location on file with NPPES is 12557 Ravenwood Dr, Chardon, OH 44024-9009.

What is Kelly Black's phone number?

The practice phone number listed in the NPPES registry for Kelly Black is (440) 285-3568.

Is Kelly Black's NPI active?

Yes — Kelly Black's NPI (1871471177) is active in the NPPES registry as of the last update on 2025-08-25.

IndividualActive

Kelly Black

NPI 1871471177 · Peer Specialist · Chardon, OH

Kelly Black is a Peer Specialist provider in Chardon, OH (NPI 1871471177).

Provider details

NPI number: 1871471177
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12557 Ravenwood Dr

Chardon, OH 44024-9009

Phone: (440) 285-3568

Street-level locationGet directions

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Mailing address