Kellie C Pope, PH.D.
Individual provider Active NPI Counseling Psychologist · Auburn, AL
NPI 1891990669 · NPPES record last updated Feb 7, 2014
Key facts
- NPI
- 1891990669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- Practice address
- 1742 Denali CT
Auburn, AL 36832-5103 - Phone
- (334) 444-5582
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinical Psychologists, P.C.
Practice addresses (Care Compare)
248 E Glenn Ave
Auburn, AL 36830-4818
Phone (334) 821-3350
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170821000697 | NC | Practitioner - Psychologist Billing Independently | 2961774377 | Reassigns benefits to 1 organization |
| I20180710002207 | AL | Practitioner - Clinical Psychologist | 2961774377 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4961 | NC | MD | Chiropractor |
| 1539 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Community Health | Current |
Accepting new patients | |
| Clinical Psychologists, P.C. | Current |
Accepting new patients |
Locations
248 E Glenn Ave
Auburn, AL 36830
Phone (334) 821-3350
448 Cranberry St
Newland, NC 28657
Phone (828) 737-0221
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJEBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Yes |
Addresses
Primary practice location
1742 Denali CT
Auburn, AL 36832-5103
Mailing address
1742 Denali CT
Auburn, AL 36832-5103
Phone (334) 444-5582
Other providers in Auburn, AL
- Lizzeth Plascencia
- Allison Margaret Plumb
- Hillary Ann Plummer
- Calli Pollard
- Christopher Jason Pope
- Victoria Popenfoose
- Ramsey Porta
- Porter Health Solutions LLC
- Deana J Porter
- Mikaela Potrako
All providers in Auburn, AL · Counseling Psychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.