Kelly Luanne Schettini, M.S., N.C.C., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC005211 Issued in GA

Practice address

170 Bastille Way, Suite C
Ginger Ridge Behavioral Health Services, LLC
Fayetteville, GA 30214

Phone

(770) 461-7010

Fax

(770) 461-7100

NPI assigned

Dec 29, 2011

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

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA

  Medicare reassignment NPD
• Ginger Ridge Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Fayetteville, GA
  • NPI 1336424787
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1417226929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BASTILLE WAY, SUITE C",
            "address_2": "GINGER RIDGE BEHAVIORAL HEALTH SERVICES, LLC",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-461-7010",
            "fax_number": "770-461-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BASTILLE WAY, SUITE C",
            "address_2": "GINGER RIDGE BEHAVIORAL HEALTH SERVICES, LLC",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-461-7010",
            "fax_number": "770-461-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHETTINI",
        "first_name": "KELLY",
        "middle_name": "LUANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., N.C.C., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC005211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy B. Scarff, M.D.
• Jennifer Schafer, LCSW
• Marie Schall
• Jolin Rose Scharen
• Kolbie Scheetz
• Kirstie Rae Schieffler, PA
• Brittany Schilling
• Alaina Schmidt, D.D.S.
• Johnathon Schmidt, PA
• Lindsay Wilson Schnute, FNP-BC

• Mental Health Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.