Karissa Kelley, LPC, CT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009412 Issued in PA

Practice address

352 Lantern LN
Chambersburg, PA 17201-3299

Phone

(267) 469-0694

Fax

(215) 689-1533

NPI assigned

Sep 19, 2019

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 27, 2024 through Aug 27, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Karissa J. Kelley Counseling LLC

  • Professional Counselor
  • Chambersburg, PA
  • NPI 1629723846
  NPD Authorized official

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1265082473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 LANTERN LN",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013299",
            "telephone_number": "267-469-0694",
            "fax_number": "215-689-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 LANTERN LN",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013299",
            "telephone_number": "267-469-0694",
            "fax_number": "215-689-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KARISSA",
        "credential": "LPC, CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Morgan Kellar, OD
• Brian T Keller, CRNA
• Jayne Keller, DMD
• Sonya Joy Keller, CSFA
• Alisha Kelley
• Carl John Kempinski, RPH
• Michaela Kendall
• Kennebec Health Center PLLC
• Ashley Kennedy
• Jessica Lynne Kennen Schmidt, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.