Kellie L. Valentine LPC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003467 Issued in PA

Legal business name

KELLIE L. VALENTINE LPC LLC

Practice address

208 E Bayfront Pkwy
Suite 200
Erie, PA 16507-2414

Phone

(814) 871-6333

Fax

(814) 871-6335

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kellie Lee Valentine, LPC

Title

Mental Health Therapist

Phone

(814) 871-6333

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kellie L Valentine LPC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sunrise Counseling

  • Professional Counselor
  • Erie, PA
  • NPI 1588088298
  NPD tax ID

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1174905111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E BAYFRONT PKWY",
            "address_2": "SUITE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072414",
            "telephone_number": "814-871-6333",
            "fax_number": "814-871-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E BAYFRONT PKWY",
            "address_2": "SUITE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072414",
            "telephone_number": "814-871-6333",
            "fax_number": "814-871-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE L. VALENTINE LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "814-871-6333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102667010001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Keller, RN, BSN
• Bethany Kelley, PA-C
• Janet E Kelley, CRNP
• Karen Kelley, CRNP
• Thomas R Kelley, O.D.
• Colton Thomas Kellogg, PT, DPT, CSCS
• Kelly Cathleen Kelly-Zazado, LCSW/ACSW
• Ann E. Kelly, CRNA
• Christian Elizabeth Kelly, LPC
• Elizabeth Maria Kelly, MSW

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.