Kelli Suzanne Littlefield, EDS, LPC, CRC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007122 Issued in GA

Practice address

100 Blue Fin Cir Ste 4
Savannah, GA 31410

Phone

(912) 373-6789

Fax

(912) 257-4413

NPI assigned

Dec 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Miss Kelli Littlefield Mischo Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Tybee Counseling ServicesGroup PAC ID 9133559289, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tybee Counseling Services

  • Mental Health Counselor
  • Savannah, GA
  • NPI 1275068223
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1497085385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLUE FIN CIR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102463",
            "telephone_number": "912-373-6789",
            "fax_number": "912-257-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLUE FIN CIR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31410",
            "telephone_number": "912-373-6789",
            "fax_number": "912-257-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Hwy 80",
            "address_2": "Suite D, Box 1814",
            "address_purpose": "LOCATION",
            "city": "Tybee Island",
            "state": "GA",
            "postal_code": "313281814",
            "country_code": "US",
            "telephone_number": "912-373-6789",
            "fax_number": "912-257-4413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEFIELD",
        "first_name": "KELLI",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "EDS, LPC, CRC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC 007122",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC 007122",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147350A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "MISCHO",
            "middle_name": "LITTLEFIELD",
            "prefix": "MISS",
            "credential": "LPC, CRC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cameron Liss
• Little P.C.
• Little Talkers Inc
• Mary Little, MSSW, LCSW
• Ondra L Little
• Shujuan Liu, M.D.
• Yifan Liu, O.M.D.
• Live Oak Assisted Living
• Live Oak Assisted Living
• Sarah Katherine Livengood, PA-C

• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.

Verify at the official NPI Registry.