Lesley Kellogg, LCAS, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11274 Issued in NC

Practice address

1140 Kildaire Farm Rd Ste 307
Cary, NC 27511-7600

Phone

(919) 418-1772

Fax

(919) 651-1042

NPI assigned

Oct 20, 2015

Last updated

Dec 19, 2022By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prism Wellness, PLLC

  dba Prism Wellness

  • Mental Health Counselor
  • Cary, NC
  • NPI 1952929747

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1174995963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD STE 307",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117600",
            "telephone_number": "919-418-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD STE 307",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117600",
            "telephone_number": "919-418-1772",
            "fax_number": "919-651-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "LESLEY",
        "credential": "LCAS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS20655",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Kowalsky Kehle, MS, BCABA, LPA
• Theresa Behil Keiser, FNP-BC
• Britton Hilliard Keith, DPT
• Jennifer Elizabeth Kellam
• Courtney Novey Keller, MS, PT, PPI
• Amanda Vaughan Kelly, MSN, FNP-C
• Erica Jenkins Kelly, PHARM.D.
• Evangeline Kelly
• Katherine Mercedes Kelly, CNM
• Morgan Jewell Kelly, M.A.

• Mental Health Counselor in Cary, NC
• Providers in Cary, 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 Dec 19, 2022; 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.