Kellie Person

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9434 Issued in NC

Practice address

319 S Westgate Dr
Suite H
Greensboro, NC 27407-1673

Phone

(336) 285-7915

NPI assigned

Feb 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 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.

• Vitae Health Medical North Carolina, PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment Care Compare group NPD
• Renewal Healing, PLLC

  • Mental Health Counselor
  • MC Leansville, NC
  • NPI 1063170728
  NPD Authorized official
• Chestnut Knoll Physicians Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1780477729

  NC

  Medicare reassignment

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1669896148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S WESTGATE DR",
            "address_2": "SUITE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071673",
            "telephone_number": "336-285-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S WESTGATE DR",
            "address_2": "SUITE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071673",
            "telephone_number": "336-285-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSON",
        "first_name": "KELLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakeia Propst Perry, RN
• Toyka Mona Perry, LCAS-A
• Trinisha Perry
• Yakeshia Perry, RN
• Randolph Gray Perryman, M.ED.,LPC
• Personal Care Inc
• Personal Care Inc.
• Personal Home Care of North Carolina, LLC
• Mary-Anne Persons, PA
• Peter F Blomgren MD PLLC

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.
• 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.