Provider Demographics
NPI:1063900892
Name:HAMPTON, KELSEY JENAE (LPC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:JENAE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:JENAE
Other - Last Name:KOUNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2320 FOXHILL DR APT 3A
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5635
Mailing Address - Country:US
Mailing Address - Phone:606-939-6631
Mailing Address - Fax:
Practice Address - Street 1:5900 W CHESTER RD STE C
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2951
Practice Address - Country:US
Practice Address - Phone:513-777-2428
Practice Address - Fax:513-777-0017
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1801005101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor