Kelly Pritchett Rodrigues, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7441 Issued in NC

Practice address

301 Mariah Cir Apt E18
Beech Mountain, NC 28604-6830

Phone

(336) 688-3784

NPI assigned

Aug 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1255564985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2253",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286042253",
            "telephone_number": "336-688-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARIAH CIR APT E18",
            "city": "BEECH MOUNTAIN",
            "state": "NC",
            "postal_code": "286046830",
            "telephone_number": "336-688-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Vincents Dr",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949031504",
            "country_code": "US",
            "telephone_number": "415-507-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 DAR Drive",
            "address_purpose": "LOCATION",
            "city": "Crossnore",
            "state": "NC",
            "postal_code": "286164305",
            "country_code": "US",
            "telephone_number": "828-733-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "KELLY",
        "middle_name": "PRITCHETT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7441",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 63488",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Margaret Wittmann, MAED

• All providers in Beech Mountain, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.