Individual provider Active NPI

Kellyn Renae McRory, LPC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1598559569
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014715 Issued in VA
Practice address
8814 Fargo Rd Ste 125
Richmond, VA 23229-4628
Phone
(804) 322-9955
NPI assigned
Apr 7, 2025
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701014715 VA
Professional Counselor 101YP2500X 0701014715 VA Primary

Addresses

Primary practice location

8814 Fargo Rd Ste 125
Richmond, VA 23229-4628

Mailing address

8814 Fargo Rd Ste 125
Richmond, VA 23229-4628
Phone (804) 322-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701014715VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Counseling & Consulting LLC Mental Health CurrentSince Apr 13, 2025 Accepting new patients

Locations

8814 Fargo Rd
Ste 125
Richmond, VA 23229
Phone (804) 223-2160

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.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1598559569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 FARGO RD STE 125",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294628",
            "telephone_number": "804-322-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 FARGO RD STE 125",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294628",
            "telephone_number": "804-322-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRORY",
        "first_name": "KELLYN",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014715",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.