Kelli Marie Egnaczak, LCMHCS, LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5155S Issued in NC

Practice address

Psychiatric Services and Consultation
20 West Colony Place #260
Durham, NC 27705

Phone

(919) 748-4540

Fax

(919) 748-4564

NPI assigned

Sep 26, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1144193087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSYCHIATRIC SERVICES AND CONSULTATION",
            "address_2": "20 WEST COLONY PLACE #260",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-748-4540",
            "fax_number": "919-748-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSYCHIATRIC SERVICES AND CONSULTATION",
            "address_2": "20 WEST COLONY PLACE #260",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-748-4540",
            "fax_number": "919-748-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGNACZAK",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "144",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5155S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senait Fremichael Efrem
• Emily Ahearn Egan
• Ryan David Egan
• Elizabeth Leigh Egeghy, LCSW
• Helen Egger, M.D.
• Amina Joyce Egwiekhor, M.D.
• Katja Dumont Ehlers
• Dagmar Ehling, MAC, LAC, DIPL OM
• Miriam Kehinde Ehrensaft, PH.D.
• Matthew Evan Ehrlich, M.D. MPH

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.