Individual provider Active NPI

Kelly F Dennis, MS LPC

  • Professional Counselor
  • Millersville, PA
National Provider Identifier
1568613677
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004958 Issued in PA
Practice address
304 N George St Ste a
Millersville, PA 17551-1524
Phone
(717) 951-0266
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004958 PA Primary

Addresses

Primary practice location

304 N George St Ste a
Millersville, PA 17551-1524

Mailing address

304 N George St Ste a
Millersville, PA 17551-1524
Phone (717) 951-0266

Other practice location 1

1615 Stony Battery Rd
Lancaster, PA 17601-1281
Phone (717) 285-4843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 6, 2024 through Feb 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC004958PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peter B Oscsodal, LPC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568613677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N GEORGE ST STE A",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175511524",
            "telephone_number": "717-951-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N GEORGE ST STE A",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175511524",
            "telephone_number": "717-951-0266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Stony Battery Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176011281",
            "country_code": "US",
            "telephone_number": "717-285-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KELLY",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, PA

Sources for this page

Verify at the official NPI Registry.