Kelsey Nicole Dupree, LPC-MHSP
Individual provider Active NPI Mental Health Counselor · Chattanooga, TN
NPI 1154943256 · NPPES record last updated May 12, 2020
Key facts
- NPI
- 1154943256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC0000004220 (TN)
- Practice address
- 4414 Brainerd Rd
Chattanooga, TN 37411-5426 - Phone
- (423) 582-6887
- NPI assigned
- May 12, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240328000132 | TN | Practitioner - Mental Health Counselor | 0941647754 | Practice locations: Chattanooga, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000004220 | TN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC0000004220 | TN | Yes |
Addresses
Primary practice location
4414 Brainerd Rd
Chattanooga, TN 37411-5426
Mailing address
28 Edgewater Dr
Chickamauga, GA 30707-4078
Phone (423) 582-6887
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | scs4help.com |
Other providers in Chattanooga, TN
- Rebecca Lynn Dunston
- Johannes J Duplooy
- Karla Del Carmen Dupre
- Antoinette Dupree
- Elizabeth Kaye Dupree
- Chad Joseph Dupuis
- Leela Priyadharshani Duraimurugan
- Derek Duran
- Tonia L Durand
- Carrie Suzanne Durante
All providers in Chattanooga, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.