Individual provider Active NPI

Kelly M Capel

  • Mental Health Counselor
  • High Point, NC
National Provider Identifier
1437780616
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3689 Shadow Ridge Dr
High Point, NC 27265-8404
Phone
(336) 863-3214
NPI assigned
Jan 28, 2020
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3689 Shadow Ridge Dr
High Point, NC 27265-8404

Mailing address

3689 Shadow Ridge Dr
High Point, NC 27265-8404
Phone (336) 863-3214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240119001862 FL Practitioner - Mental Health Counselor 5092167536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Centerstone of Tennesse Inc. CurrentSince Jan 1, 2024 Accepting new patients
KC Counseling, PLLC Mental Health CurrentSince Nov 17, 2024 Accepting new patients

Locations

7011 A C Skinner Pkwy
Jacksonville, FL 32256
Phone (904) 431-3500

7011 A C Skinner Pkwy
Ste 155
Jacksonville, FL 32256
Phone (904) 431-3500

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1437780616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 SHADOW RIDGE DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658404",
            "telephone_number": "336-863-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 SHADOW RIDGE DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658404",
            "telephone_number": "336-863-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEL",
        "first_name": "KELLY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.