Erwin A Kelly, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10991 Issued in NC

Practice address

351 Wagoner Dr Ste 410
Fayetteville, NC 28303-4670

Phone

(910) 339-4749

Fax

(910) 339-5953

NPI assigned

Jul 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Kelly Counseling Center

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1154043396

  Mental Health

  NPD Authorized official
• Renew Counseling Center of NC LLC

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1528470325
  NPD (past)

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1134537657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 MARINERS LANDING DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067570",
            "telephone_number": "910-261-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 410",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034670",
            "telephone_number": "910-339-4749",
            "fax_number": "910-339-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ERWIN",
        "middle_name": "A",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10991",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10991",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "10991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Godwin Kells, DPT
• Kelly Counseling Center
• Brittany Kelly, BT
• Catherine Margaret Kelly, M.D.
• Courtney Kelly
• Kayte Kelly
• Kenderlin Jovan Kelly
• Lance Kelly
• Mary Charlene Kelly, MSW
• Regina Cassandra Kelly, LCSW

• Professional Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.