Active NPI
Kelly Mae Van Vleet, M.A., LCMHC, LCAS
- Mental Health Counselor
- Indian Trail, NC
National Provider Identifier
1447558200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8870
- Practice address
- 8003 Hyde Park Dr
Indian Trail, NC 28079-5657 - Phone
- (336) 259-3590
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1981 | NC | |
| Mental Health Counselor | 101YM0800X | 8870 | NC | Primary |
Addresses
Primary practice location
8003 Hyde Park Dr
Indian Trail, NC 28079-5657
Mailing address
8003 Hyde Park Dr
Indian Trail, NC 28079-5657
Phone (336) 259-3590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8870 | NC | MD | Mental Health Counselor |
| 1981 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1447558200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 HYDE PARK DR",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280795657",
"telephone_number": "336-259-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8003 HYDE PARK DR",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280795657",
"telephone_number": "336-259-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN VLEET",
"first_name": "KELLY",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "M.A., LCMHC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1981",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Trail, NC
- Union Physicians Network Inc (Indian Trail Pediatrics)
- Union Urgent Care LLC (Carolinas HealthCare Urgent Care - Union West)
- United Life Visions LLC
- Universal DME Incorporated
- Hannah Valdes, DPT
- Gary Lee Vaughn, OPTICIAN
- Abigail Villanueva, OTR L
- Vital Energy Rehab NC LLC
- Vitality Counseling & Therapy 4 Life, PLLC
- Christina Lynn Vorobej, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.