Individual provider Active NPI

Haleigh Joyce Walcott Kelley, LPC

  • Mental Health Counselor
  • Suffolk, VA
National Provider Identifier
1477270460
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701011903 Issued in VA
Practice address
5028 Kings Grant Cir
Suffolk, VA 23434-7295
Phone
(540) 435-3637
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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 0701011903 VA Primary

Addresses

Primary practice location

5028 Kings Grant Cir
Suffolk, VA 23434-7295

Mailing address

5028 Kings Grant Cir
Suffolk, VA 23434-7295
Phone (540) 435-3637

Other practice location 1

481 E Market St
Harrisonburg, VA 22801-4225
Phone (757) 809-6704

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

State licenses

LicenseStateTypeSpecialty
0701011903VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1477270460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 KINGS GRANT CIR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347295",
            "telephone_number": "540-435-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 KINGS GRANT CIR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347295",
            "telephone_number": "540-435-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "481 E Market St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228014225",
            "country_code": "US",
            "telephone_number": "757-809-6704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "HALEIGH",
        "middle_name": "JOYCE WALCOTT",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.