Individual provider Active NPI

Kelly Lee Ozelski, LMFT

  • Marriage & Family Therapist
  • Lebanon, PA
National Provider Identifier
1376051771
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000948 Issued in PA
Practice address
752 Willow St
Lebanon, PA 17046-5066
Phone
(717) 926-6760
Fax
(877) 250-4210
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000948 PA Primary

Addresses

Primary practice location

752 Willow St
Lebanon, PA 17046-5066

Mailing address

160 S 22ND St
Lebanon, PA 17042-2559
Phone (717) 926-6760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240522003038 PA Practitioner - Marriage and Family Therapist 1850733882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whole Life Counseling and Consulting, LLCGroup PAC ID 8628410644, 4 clinicians

Practice addresses (Care Compare)

Lebanon, PA 17042
Phone (717) 926-6760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Counseling & Consulting, LLC Marriage & Family Therapist CurrentSince Mar 19, 2024 Accepting new patients
Kelly Ozelski LLC Marriage & Family Therapist CurrentSince Aug 2, 2020 Accepting new patients

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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1376051771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S 22ND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170422559",
            "telephone_number": "717-926-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 WILLOW ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465066",
            "telephone_number": "717-926-6760",
            "fax_number": "877-250-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZELSKI",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.