Kelly College, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12688 Issued in NC

Practice address

6204 Battleford Dr
Raleigh, NC 27612-6604

Phone

(571) 419-4451

NPI assigned

Jan 17, 2021

Last updated

Feb 16, 2021By 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 1

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1225627862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30881",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276220881",
            "telephone_number": "919-675-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 BATTLEFORD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126604",
            "telephone_number": "571-419-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEGE",
        "first_name": "KELLY",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Collado
• Collage Nursing and Homecare Partners LLC
• James Belknap Collawn, MD
• Collective Care Couseling
• Collective Exhale Therapy & Wellness, PLLC
• Collegial Behavioral Health, PLLC
• Kelsey Marie Colletti, PA-C
• Emily Collie
• Floyd McGowan Collie, DDS, MS
• Vanessa Collier-Robinson

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Feb 16, 2021; 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.