Individual provider Active NPI

Kelly Skipper, LPC

  • Counselor
  • Dothan, AL
National Provider Identifier
1316730757
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC05605 Issued in AL
Practice address
1672 Columbia Hwy
Dothan, AL 36303-5434
Phone
(334) 712-6400
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC05605 AL Primary

Addresses

Primary practice location

1672 Columbia Hwy
Dothan, AL 36303-5434

Mailing address

PO Box 1245
Dothan, AL 36302-1245
Phone (334) 712-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625002137 AL Practitioner - Mental Health Counselor 5890207807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectracare Health Systems IncGroup PAC ID 3779509765, 15 clinicians

Practice addresses (Care Compare)

3542 Montgomery Hwy
Dothan, AL 36303-2165
Phone (334) 712-2720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC05605ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spectracare Integrated Services LLC CurrentSince May 20, 2025 Accepting new patients
Spectracare Health Systems, Inc. CurrentSince May 20, 2025 Accepting new patients

Locations

440 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 673-2143

3542 Montgomery Hwy
Dothan, AL 36303
Phone (334) 712-2720

1672 Columbia Hwy
Dothan, AL 36303
Phone (334) 712-2671

133 N Orange Ave
Eufaula, AL 36027

1203 W Maple Ave
Geneva, AL 36340
Phone (334) 805-1395

134 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1316730757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021245",
            "telephone_number": "334-712-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 COLUMBIA HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363035434",
            "telephone_number": "334-712-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER",
        "first_name": "KELLY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "LPC05605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.