Carrie L. Kelly, LPC, SACIT
NPI 1821263724ActiveIndividual· Counselor, Professional· Elkhorn, WI
Counselor, Professional (LPC, SACIT) with Prohealth Medical Group Inc, practicing in Elkhorn, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1821263724 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, SACIT |
| Sole proprietor | No |
| NPI issued | Apr 23, 2008 |
| Last updated in NPPES | Apr 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 4558-125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Prohealth Medical Group IncMukwonago, WI · 479 clinicians
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