Active NPI
Kelley Yvette Olds, PHD, LPC
- Professional Counselor
- Moseley, VA
National Provider Identifier
1891512356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701013982
- Practice address
- 6324 Red Setter LN
Moseley, VA 23120-2265 - Phone
- (804) 683-0438
- NPI assigned
- Sep 25, 2024
- Last updated
- Sep 25, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701013982 | VA | |
| Professional Counselor | 101YP2500X | 0701013982 | VA | Primary |
| School Counselor | 101YS0200X | PPS-567089 | VA |
Addresses
Primary practice location
6324 Red Setter LN
Moseley, VA 23120-2265
Mailing address
6324 Red Setter LN
Moseley, VA 23120-2265
Phone (804) 683-0438
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701013982 | VA | MD | Professional Counselor |
| PPS-567089 | VA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1891512356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6324 RED SETTER LN",
"city": "MOSELEY",
"state": "VA",
"postal_code": "231202265",
"telephone_number": "804-683-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 RED SETTER LN",
"city": "MOSELEY",
"state": "VA",
"postal_code": "231202265",
"telephone_number": "804-683-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDS",
"first_name": "KELLEY",
"middle_name": "YVETTE",
"name_prefix": "Dr.",
"credential": "PHD, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701013982",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701013982",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "VA",
"license": "PPS-567089",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moseley, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.