Lori A Kelsey, CADC

Key facts

NPI

1982036638

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

119 Herriford Curve Road
Jamestown, KY 42629

Phone

(270) 343-2551

NPI assigned

Aug 5, 2013

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Spero Health of Kentucky, LLC Addiction Medicine (Family Medicine) Physician · Danville, KY · NPI 1982102109
  Medicare reassignment NPD KY
• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Community/Behavioral Health Agency · Somerset, KY · NPI 1336172642
  NPD (past)
• Lake Cumberland Regional MHMR Board Outpatient Community/Behavioral Health Agency · Somerset, KY · NPI 1992831713
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2016.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1982036638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HERRIFORD CURVE ROAD",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "42629",
            "telephone_number": "270-343-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1159",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, KY

• Jamestown Valu-Rite Pharmacy Inc
• Meghan Jasper
• Elizabeth Johnson
• Thomas Dwayne Johnson, MD
• Stephanie R Jones, MD
• Joseph King
• Lake Cumberland Children'S Advocacy Center
• Lake Cumberland District Health Department
• Lake Cumberland District Health Dept
• Lake Cumberland District Heatlh Dept

All providers in Jamestown, KY · Mental Health Counselor in Kentucky