Kellie Dyson, LMHC-D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006989 Issued in NY

Practice address

2385 Arthur Ave Ste 201
Bronx, NY 10458-8184

Phone

(774) 206-1125

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  Medicare reassignment NPD
• Northeast Family Services of New York Inc.

  • Community/Behavioral Health Agency
  • New Rochelle, NY
  • NPI 1831721422
  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1912364621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 UNDERHILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 ARTHUR AVE STE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588184",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "KELLIE",
        "credential": "LMHC-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Healthcare Center, LLC
• Dynamic Orthopedics of New York, PLLC
• Dynamic Physical Therapy & Rehabilitation, P.C.
• Richard Dynia, MD
• Breh N Dyson, R.N.
• Tekia Dyson
• Marilou Dytioco
• Veronica Atsupui Dzandza
• Robert Dzhurayev, PA
• Alexandra Dziedzic, LCAT, ATR-BC

• Mental Health Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.