KELLYNN RAE MASSENGALE
NPI 1063225951
Counselor - Mental Health in Greenville, SC

Active since January 27, 2025
124 MALLARD ST, GREENVILLE, SC 29601(864) 549-0222 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellynn Rae Massengale NPPES

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

KELLYNN RAE MASSENGALE (NPI 1063225951) is an individual mental health provider in Greenville, South Carolina and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1063225951
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLYNN RAE MASSENGALE
Location Address124 MALLARD STGreenville, SC 29601-4046
Mailing Address124 Mallard StGreenville, SC 29601-4046 · (864) 549-0222
Sole ProprietorYes
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1063225951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
124 MALLARD ST, Greenville, SC 29601

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.

Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Clinic/Center (Mental Health (Including Community Mental Health Center))
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601

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 Kellynn Massengale's NPI number?

The NPI number for Kellynn Massengale is 1063225951. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Kellynn Massengale located?

Kellynn Massengale practices at 124 Mallard St, Greenville, SC 29601. The listed phone number is (864) 549-0222.

What is Kellynn Massengale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kellynn Massengale was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.