Kelsey Nicole Carithers, LMFT-A

Individual provider Active NPI Marriage & Family Therapist · Spartanburg, SC

NPI 1104642842 · NPPES record last updated Nov 26, 2024

Key facts

NPI
1104642842
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
10197 (SC)
Practice address
945 E Main St Ste 5
Spartanburg, SC 29302-2119
Phone
(864) 383-9002
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10197SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Wellness Family Counseling, LLC Marriage & Family Therapist Current
since Dec 1, 2024
Accepting new patients

Locations

945 E Main St
Ste 5
Spartanburg, SC 29302
Phone (864) 383-9002

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 10197 SC Yes

Addresses

Primary practice location

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

Mailing address

945 E Main St Ste 5
Spartanburg, SC 29302-2119
Phone (864) 383-9002

Other providers in Spartanburg, SC

All providers in Spartanburg, SC · Marriage & Family Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.