Individual provider Active NPI

Chelsea Kelter, MS, BCCT, CCATP

  • Pastoral Counselor
  • Cumming, GA
National Provider Identifier
1063015741
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
2152589 Issued in GA
Practice address
327 Dahlonega Hwy
Suite 1902 a
Cumming, GA 30040
Phone
(561) 379-2493
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 2152589 GA Primary

Addresses

Primary practice location

327 Dahlonega Hwy
Suite 1902 a
Cumming, GA 30040

Mailing address

327 Dahlonega Hwy
Suite 1902 a
Cumming, GA 30040
Phone (561) 379-2493

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Cumming Health Information Exchange (HIE)
Other URL anchoredheartcounseling@gmail.com Health Information Exchange (HIE)

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 Science

State licenses

LicenseStateTypeSpecialty
2152589GAMDPastoral Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1063015741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA HWY",
            "address_2": "SUITE 1902 A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "561-379-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA HWY",
            "address_2": "SUITE 1902 A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "561-379-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTER",
        "first_name": "CHELSEA",
        "credential": "MS, BCCT, CCATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "2152589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cumming",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "327 Dahlonega Hwy",
            "address_2": "Suite 1902 A",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anchoredheartcounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "327 Dahlonega Hwy",
            "address_2": "Suite 1902 A",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.