Active NPI
Andrea Lee Kelly, M.A.
- Counseling Psychologist
- Burlington, VT
National Provider Identifier
1487935516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 608
- Practice address
- 444 South Union St.
Suite 230
Burlington, VT 05401 - Phone
- (802) 363-9567
- NPI assigned
- Sep 2, 2011
- Last updated
- Dec 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 047.0000608 | VT | |
| Counseling Psychologist | 103TC1900X | 608 | VT | Primary |
Addresses
Primary practice location
444 South Union St.
Suite 230
Burlington, VT 05401
Mailing address
444 South Union St.
Suite #230
Burlington, VT 05401
Phone (802) 363-9567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240229003440 | VT | Practitioner - Mental Health Counselor | 0840635876 | Practice locations: Burlington, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
444 S Union St
Suite 230
Burlington, VT 05401-4829
Phone (802) 363-9567
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 608 | VT | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura a. Ramirez, DC PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Burlington, VT
- NPI 1922244037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702771200000",
"number": "1487935516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 SOUTH UNION ST.",
"address_2": "SUITE #230",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-363-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 SOUTH UNION ST.",
"address_2": "SUITE 230",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-363-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ANDREA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2023-12-17",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "047.0000608",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.