Active NPI
Kelley Williams Baughman, MA, LPCA
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1013474980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14478
- Practice address
- 3200 Wake Forest Rd Ste 204
Raleigh, NC 27609-7451 - Phone
- (919) 713-0260
- Fax
- (919) 591-0161
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14478 | NC | Primary |
Addresses
Primary practice location
3200 Wake Forest Rd Ste 204
Raleigh, NC 27609-7451
Mailing address
2609 Albemarle Ave
Raleigh, NC 27610-1833
Phone (919) 344-9761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14478 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Harrison Counseling PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1013474980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 ALBEMARLE AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101833",
"telephone_number": "919-344-9761",
"fax_number": "919-591-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 WAKE FOREST RD STE 204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097451",
"telephone_number": "919-713-0260",
"fax_number": "919-591-0161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUGHMAN",
"first_name": "KELLEY",
"middle_name": "WILLIAMS",
"name_prefix": "Mrs.",
"credential": "MA, LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.