Kelly Elysse Schneider, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9153 Issued in NC

Practice address

1401 Matthews Township Pkwy Ste 320
Matthews, NC 28105

Phone

(704) 384-1261

Fax

(704) 384-3145

NPI assigned

Jan 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Elysse Hart Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1134490923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1261",
            "fax_number": "704-384-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 320",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-384-1261",
            "fax_number": "704-384-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N 1st St",
            "address_2": "SUITE 1",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280012833",
            "country_code": "US",
            "telephone_number": "704-939-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 W Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "28110",
            "country_code": "US",
            "telephone_number": "704-296-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 E Sunset Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281124333",
            "country_code": "US",
            "telephone_number": "704-966-8206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 W Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "28110",
            "country_code": "US",
            "telephone_number": "704-296-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KELLY",
        "middle_name": "ELYSSE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9153",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A9153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kschneider681529@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1000 N 1st St",
            "address_2": "SUITE 1",
            "city": "Albemarle",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280012833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HART",
            "middle_name": "ELYSSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan B Schiff Moses, MSPT
• Ashley Marie Schlieper, ITFS, MSW, LCSW
• Rebekah Schlottman, MA, LCMHC, LPC
• Mark Allen Schmidtke, DDS
• Michael John Schmitt, DC
• Dennis Charles Schoen, DC
• Sandra Lee Schoonover, PH.D.
• Leah Schuetz
• Heather Kay Schultz, PA
• Michael Schultz

• All providers in Matthews, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.