MS. KELLY WRAY HURLEY LPC
NPI 1003979949
Counselor - Mental Health in Phoenix, AZ
About Ms. Kelly Wray Hurley Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY WRAY HURLEY LPC (NPI 1003979949) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC-12363) and active in the NPI registry since December 2006. She has opted out of Medicare through May 27, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Kelly Wray Hurley Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 27, 2024 through May 27, 2028.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Hurley's NPI number?
The NPI number for Kelly Hurley is 1003979949. It was assigned to this individual provider in the NPPES registry on December 19, 2006.
Where is Kelly Hurley located?
Kelly Hurley practices at 7220 N 16th St Suite G, Phoenix, AZ 85020. The listed phone number is (480) 707-8172.
What is Kelly Hurley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Hurley enrolled in Medicare?
No. Kelly Hurley has opted out of Medicare through May 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kelly Hurley was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Kelly Wray Hurley, LPC · NPI 1003979949
Mental Health provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since December 19, 2006.
## Identity
- **NPI:** 1003979949 (Entity type: Individual)
- **Enumerated:** December 19, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC-12363 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 7220 N 16TH ST SUITE G, Phoenix, AZ 85020
- **Phone:** (480) 707-8172
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 27, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003979949) · Data from the CMS NPPES public registry.