Kelly Lynn Rios, ATR, LPCA

Individual provider Active NPI Counselor · Fayetteville, NC

NPI 1124530142 · NPPES record last updated Aug 10, 2018

Key facts

NPI
1124530142
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
3035 Boone Trail Ext Ste H
Fayetteville, NC 28304
Phone
(910) 223-0949
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidspeace National Centers of North America Inc Past Accepting new patients
Kidspeace National Centers of North America Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

3035 Boone Trail Ext Ste H
Fayetteville, NC 28304

Mailing address

3035 Boone Trail Ext Ste H
Fayetteville, NC 28304-3860
Phone (910) 223-0949

Other providers in Fayetteville, NC

All providers in Fayetteville, NC · Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.