Emily Kelly, LPC-ASSOCIATE

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

83825 Issued in TX

Practice address

5465 Legacy Dr Ste 650
Plano, TX 75024-3190

Phone

(469) 573-1109

NPI assigned

Mar 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 11, 2025 through Mar 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1437809076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 MISTY HARBOR DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685966",
            "telephone_number": "313-460-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 LEGACY DR STE 650",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243190",
            "telephone_number": "469-573-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilykelly2334@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "emilykelly2334@protonmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5465 Legacy Dr Ste 650",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750243190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Collin Kelley, PHARMD
• Jacquelyn A Kelley, L.C.S.W.
• Kelli Watkins MD PA
• Michael Joseph Kelly-Sell, MD
• Ashley Kelly
• Madeline Kelly, AUD
• Shawn M Kelly, OD
• Sherry Ann Kelly, LCSW
• Kristen Rene Kemp, RD
• Tye J Kemp, MS, LPC

• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.