Kelly Mason, MS, LPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011270 Issued in PA

Practice address

313 W Liberty St Ste 124
Lancaster, PA 17603-2766

Phone

(717) 397-9118

Fax

(717) 397-3514

NPI assigned

Jan 16, 2020

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

Other names 1

• Kelly Olena Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Campus Wellness Partners

  • Clinical Psychologist
  • Lancaster, PA
  • NPI 1629620851
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1306476528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST STE 350",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032780",
            "telephone_number": "717-947-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST STE 124",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032766",
            "telephone_number": "717-397-9118",
            "fax_number": "717-397-3514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 W Liberty St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032780",
            "country_code": "US",
            "telephone_number": "717-947-4750",
            "fax_number": "717-910-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "KELLY",
        "credential": "MS, LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011270",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "12303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "OLENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Strayer Masland, CRNP
• Ronae Mason-Craig
• Ashley Mason
• Emma Altland Mason, PA
• Ian Mason
• Lauren Marie Massaro, MD
• Emily Massie
• Ashley Tobin Mast, PHARM. D
• Daniel D Mast, D.O.
• Jacqueline N Mast, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.