Kelsey Kathleen Pierce, M.COUN, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-5977 Issued in ID

Practice address

110 S 19TH Ave
Pocatello, ID 83201-3312

Phone

(208) 234-4722

Fax

(208) 234-2135

NPI assigned

Jul 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 6, 2024 through Apr 6, 2028

Medicare enrollment (NPD)

Not 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.

• Kelsey Pierce Counseling

  • Mental Health Counselor
  • Boise, ID
  • NPI 1316713175

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Bannock Youth Foundation

  • Addiction (Substance Use Disorder) Counselor
  • Pocatello, ID
  • NPI 1245665470
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1568847671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 19TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013312",
            "telephone_number": "208-234-4722",
            "fax_number": "208-234-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 19TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013312",
            "telephone_number": "208-234-4722",
            "fax_number": "208-234-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KELSEY",
        "middle_name": "KATHLEEN",
        "credential": "M.COUN, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "LPC-5977",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-5977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LPC NUMBER",
            "identifier": "LPC-5977",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physicians Mental Health Services
• Physio Therapeutics, PLLC
• Aaron Isaac Pierce, OT
• Ashley Ann Pierce, TSLP
• Becky A. Pierce, M.S. CCC-SLP
• Nicholas S Pierson, MD
• Stevie M Pierson
• Pillar Health Care LLC
• Pineview Medical LLC
• Pioneer Hearing and Tinnitus LLC

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.