Sienna Kellum

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A23500 Issued in NC

Practice address

205 Regency Executive Park Dr Ste 210
Charlotte, NC 28217-2968

Phone

(980) 939-0991

NPI assigned

Oct 26, 2026

Last updated

Oct 26, 2026By 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

Medicare enrollment (NPD)

Not enrolled

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.

• Real Talk Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1396225348
  NPD (past)

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1326945932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 ATKINS CIRCLE DR APT 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773456",
            "telephone_number": "434-227-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 REGENCY EXECUTIVE PARK DR STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172968",
            "telephone_number": "980-939-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "SIENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A23500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellogg Medical PLLC
• Katherine Kellogg, BCBA
• William Creighton Kellogg, DO
• Julie Christine Kells, OD
• Blake Jillian Kellum, LCMHC
• Kelly Saylor Counseling & Consulting Services, PLLC
• Alyse Margaret Kelly-Jones, MD
• Allie Black Kelly, P.A.C
• Amy Henderson Kelly, NP
• Andrea Maluta Kelly, P.A.

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, 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 Oct 26, 2026; 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.