KATHERINE KELLY
NPI 1083155717
Marriage & Family Therapist in Spartanburg, SC

Q: What is Katherine Kelly's NPI number?

The NPI number for Katherine Kelly is 1083155717. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Q: What is Katherine Kelly's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Katherine Kelly enrolled in Medicare?

No. Katherine Kelly has opted out of Medicare through February 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Katherine Kelly 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.

Active since March 14, 2017Opted out of Medicare · through Feb 25, 2028

945 E MAIN ST STE 5, SPARTANBURG, SC 29302(864) 383-9002 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 28, 2017, Mar 14, 2017 (2 updates tracked since 2017).

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About Katherine Kelly NPPES

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

KATHERINE KELLY (NPI 1083155717) is an individual marriage & family therapist in Spartanburg, South Carolina, licensed in South Carolina (8836) and active in the NPI registry since March 2017. She has opted out of Medicare through February 25, 2028.

NPPES Registry Identity

NPI1083155717

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKATHERINE KELLY

Location Address945 E MAIN ST STE 5Spartanburg, SC 29302-2119

Mailing Address2451 Wallace AveSpartanburg, SC 29302-3451 · (864) 285-6918

Phone(864) 383-9002

Sole ProprietorNo

Enumeration DateMarch 14, 2017

Last NPPES UpdateJanuary 22, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2024

✔ NPI 1083155717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in SC · 8836

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

945 E MAIN ST STE 5, Spartanburg, SC 29302

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine Kelly 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 February 25, 2026 through February 25, 2028.

Opt-Out Effective DateFebruary 25, 2026

Opt-Out In Effect ThroughFebruary 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

KELSEY NICOLE CARITHERS LMFT-A

Marriage & Family Therapist