Active NPI
Kelsey Grace Ondriezek, LPC
- Professional Counselor
- Lula, GA
National Provider Identifier
1992654164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013571
- Practice address
- 750 C. Jordan Road
Lula, GA 30554 - Phone
- (706) 607-9294
- NPI assigned
- Jan 22, 2026
- Last updated
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC013571 | GA | Primary |
Addresses
Primary practice location
750 C. Jordan Road
Lula, GA 30554
Mailing address
297 River Run TRL
Cornelia, GA 30531-4515
Phone (912) 486-0245
Other practice location 1
297 River Run Trl
Cornelia, GA 30531-4515
Phone (912) 486-0245
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013571 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1992654164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 RIVER RUN TRL",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305314515",
"telephone_number": "912-486-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 C. JORDAN ROAD",
"city": "LULA",
"state": "GA",
"postal_code": "30554",
"telephone_number": "706-607-9294"
}
],
"practiceLocations": [
{
"address_1": "297 River Run Trl",
"address_purpose": "LOCATION",
"city": "Cornelia",
"state": "GA",
"postal_code": "305314515",
"country_code": "US",
"telephone_number": "912-486-0245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONDRIEZEK",
"first_name": "KELSEY",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-22",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lula, GA
- Kelly Nicole Giddens, M.ED CCC SLP
- Amber Gilbert, OTRL
- Audra Barr Hawkins, LPC
- Amy Miller
- North Georgia Upper Cervical Clinics
- Pharmaceutical Concepts PC (Lula Pharmacy and Foothills Gift Shop)
- Pharmaceutical Concepts PC (Lula Pharmacy & Foothills Gift Shop)
- Audria Victoria Ratterree
- Leigh Rodgers
- Jessica Ashley Smith, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.