Peter Andrew Kelley, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2404226 Issued in OH

Practice address

7100 Graphics Way Ste 3100
Lewis Center, OH 43035-0238

Phone

(614) 889-5722

NPI assigned

Aug 2, 2018

Last updated

Sep 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Syntero IncGroup PAC ID 8224020466, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/cndcolumbus/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Syntero, Inc.

  dba Dublin Counseling Center

  • Mental Health Counselor
  • Dublin, OH
  • NPI 1588619852
  Medicare reassignment Care Compare group NPD
• Community for New Direction

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1730230343
  Medicare reassignment NPD
• Syntero, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Dublin, OH
  • NPI 1609135763
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1134607948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CRAMER CREEK CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172586",
            "telephone_number": "614-889-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 3100",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350238",
            "telephone_number": "614-889-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "PETER",
        "middle_name": "ANDREW",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Paul Kelly, M.D.
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• Robert Alan Kenyon, D.D.S.
• Keamogetse Yasmine Khudu, CT

• Professional Counselor in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.