Kimberly Ann Kelly, L.P.C
NPI 1992944870ActiveIndividual· Clinic/Center, Multi-Specialty· Tupelo, MS
Clinic/Center, Multi-Specialty (L.P.C) in Tupelo, Mississippi, licensed in MS, with an NPI issued in February 2009. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1992944870 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.P.C |
| Sole proprietor | Yes |
| NPI issued | Feb 17, 2009 |
| Last updated in NPPES | Jan 29, 2025 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | 1923 | MS |
| Counselor | 101Y00000X | 1923 | MS |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | 1923 | MS |
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 (MS) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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