Christopher Kelly, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006537 Issued in VA

Practice address

630 Park St Apt B
Charlottesville, VA 22902-4642

Phone

(412) 849-1204

NPI assigned

Feb 16, 2016

Last updated

Nov 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1588023857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CITY WALK WAY, APT. #116",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024642",
            "telephone_number": "412-849-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PARK ST APT B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024642",
            "telephone_number": "412-849-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14581",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007917",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth-Laches Keller
• Rebecca A Keller, DPT
• Meredith Kelley, DNP, FNP-BC
• Ryan Thomson Kellogg, MD
• Brianna Kelly
• Daniel Reirdon Kelly, DMD
• Ellen Ramos Kelly, DMD
• Gwendolyn Valerie Kelly, M.D.
• Heather C Kelly, MD
• Jennifer Tweel Kelly, MSW

• Professional Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.