Active NPI
Kelsey Lullo, M.A., APCC
- Mental Health Counselor
- Anaheim Hills, CA
National Provider Identifier
1821946880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5475 E. la Palma Ave. Suite 200
Anaheim Hills, CA 92807 - Phone
- (714) 485-0354
- Fax
- (714) 485-2111
- NPI assigned
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5475 E. la Palma Ave. Suite 200
Anaheim Hills, CA 92807
Mailing address
PO Box 7182
Newport Beach, CA 92658-7182
Phone (949) 722-7118
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1821946880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7182",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926587182",
"telephone_number": "949-722-7118",
"fax_number": "949-579-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 E. LA PALMA AVE. SUITE 200",
"city": "ANAHEIM HILLS",
"state": "CA",
"postal_code": "92807",
"telephone_number": "714-485-0354",
"fax_number": "714-485-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LULLO",
"first_name": "KELSEY",
"credential": "M.A., APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.