Katherine Kelly

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8836 Issued in SC

Practice address

945 E Main St Ste 5
Spartanburg, SC 29302-2119

Phone

(864) 383-9002

NPI assigned

Mar 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 25, 2026 through Feb 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Modern Wellness Family Counseling, LLC

  • Marriage & Family Therapist
  • Spartanburg, SC
  • NPI 1972146611
  NPD

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1083155717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 WALLACE AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023451",
            "telephone_number": "864-285-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E MAIN ST STE 5",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022119",
            "telephone_number": "864-383-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "8836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kelley, CRNA
• Ana Kelley, LPC
• Brittany Pridemore Kelley
• James Patrick Thomas Kelley, NP
• Jason Kelly, MD
• Phyllis H Kelly
• Shatearia Kelly
• Bianca Marie Kelsey, RN, BSN
• Ashley Kemp, LPC
• Lynette Kemp, A.P.R.N.

• Marriage & Family Therapist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.