Individual provider Active NPI

Kellie C Pope, PH.D.

  • Counseling Psychologist
  • Auburn, AL
National Provider Identifier
1891990669
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
1742 Denali CT
Auburn, AL 36832-5103
Phone
(334) 444-5582
NPI assigned
Jun 20, 2007
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

1742 Denali CT
Auburn, AL 36832-5103

Mailing address

1742 Denali CT
Auburn, AL 36832-5103
Phone (334) 444-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170821000697 NC Practitioner - Psychologist Billing Independently 2961774377 Reassigns benefits to 1 organization
I20180710002207 AL Practitioner - Clinical Psychologist 2961774377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Psychologists, P.C.Group PAC ID 9234151028, 9 clinicians

Practice addresses (Care Compare)

248 E Glenn Ave
Auburn, AL 36830-4818
Phone (334) 821-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1539ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Community Health CurrentSince Jun 12, 2017 Accepting new patients
Clinical Psychologists, P.C. CurrentSince May 8, 2018 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJEBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1891990669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 DENALI CT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368325103",
            "telephone_number": "334-444-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 DENALI CT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368325103",
            "telephone_number": "334-444-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "KELLIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.