Krystal Kelly, LPC
NPI 1821753658ActiveIndividual· Counselor, Professional· Bloomfield, CT
Counselor, Professional (LPC) in Bloomfield, Connecticut, licensed in CT, with an NPI issued in November 2021. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1821753658 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Nov 6, 2021 |
| Last updated in NPPES | Jul 3, 2026 |
| Certified by provider | Jul 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 004885 | CT |
| Counselor | 101Y00000X | 004885 | CT |
| Counselor, Mental Health | 101YM0800X | 004885 | CT |
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 (CT) |
|---|
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