Individual provider Active NPI

Lorin C Kelly, MA

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1992334361
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1201 Calvert St
#22013
Lincoln, NE 68502-2131
Phone
(785) 465-4961
NPI assigned
Apr 7, 2020
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Mental Health Counselor 101YM0800X 3050 KS

Addresses

Primary practice location

1201 Calvert St
#22013
Lincoln, NE 68502-2131

Mailing address

1201 Calvert St
#22013
Lincoln, NE 68502-2131
Phone (785) 465-4961

Other practice location 1

201 South 4th Street
Suite C5
Manhattan, KS 66502
Phone (785) 465-4961

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
3050KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly & Associates Therapeutic Services LLC Mental Health CurrentSince Oct 30, 2022 Accepting new patients

Locations

1201 Calvert St
#22013
Lincoln, NE 68502
Phone (785) 465-4961

Organizations & group practices 1

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1992334361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CALVERT ST",
            "address_2": "#22013",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685022131",
            "telephone_number": "785-465-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CALVERT ST",
            "address_2": "#22013",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685022131",
            "telephone_number": "785-465-4961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 South 4th Street",
            "address_2": "Suite C5",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "66502",
            "country_code": "US",
            "telephone_number": "785-465-4961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LORIN",
        "middle_name": "C",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.