LINDA D KELLY LPC
NPI 1043339864
Counselor - Professional in Gloucester, VA

Q: What is Linda Kelly's NPI number?

The NPI number for Linda Kelly is 1043339864. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Linda Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Linda Kelly was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment

9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061(804) 695-8120(804) 695-8122 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Linda D Kelly Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDA D KELLY LPC (NPI 1043339864) is an individual professional provider in Gloucester, Virginia, licensed in Virginia (0701014545) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Urbanna, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043339864

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLINDA D KELLYCredential: LPC

Location Address9228 GEORGE WASHINGTON MEMORIAL HWYGloucester, VA 23061-4162

Mailing Address379 Wilson LnWeems, VA 22576-2202

Phone(804) 695-8120

Fax(804) 695-8122

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 29, 2007

Last NPPES UpdateFebruary 18, 2025

NPPES CertifiedFebruary 18, 2025

✔ NPI 1043339864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701014545

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 171M00000X (VA)

9228 GEORGE WASHINGTON MEMORIAL HWY, Gloucester, VA 23061

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Secondary Practice Location 1

Location 15372 B Old Virginia StreetUrbanna, VA 23175 · Phone (804) 758-5250 ext. 114 · Fax (804) 758-5183

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Linda D Kelly Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951826460

PECOS Enrollment IDI20250417000555

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELESTE CARMODY LCSW

Social Worker (Clinical)