Kellie Lee Valentine

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003951 Issued in PA

Practice address

208 E Bayfront Pkwy Ste 200B
Erie, PA 16507-2413

Phone

(814) 871-6333

Fax

(814) 871-6335

NPI assigned

Nov 17, 2005

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

Other identifiers 1

Other names 1

• Kellie Lee Valentine-Andrews Other name

Electronic endpoints 2

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1760464572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E BAYFRONT PKWY STE 200B",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072413",
            "telephone_number": "814-871-6333",
            "fax_number": "814-871-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E BAYFRONT PKWY STE 200B",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072413",
            "telephone_number": "814-871-6333",
            "fax_number": "814-871-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "KELLIE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102667010002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sunrisecounselingonthebayfront@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 E Bayfront Pkwy Ste 200B",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165072413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Therapyappointments.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "208 E Bayfront Pkwy Ste 200B",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165072413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "VALENTINE-ANDREWS",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laina Jillian Uzarski
• Jawad Vaid, MB BCH BAO
• Theresa Vail
• Emina Vakufac, PA
• Kevin Charles Valasek, DC
• Randall L Valentine, DMD MSD
• Joshua Richard Valerio, DO
• Dennis Robert Valone, ED.D.
• Mark William Van Dyke, DO
• Clinton F Van Hoff

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.