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AMANDA M KELLY LPC-A
NPI 1083435820
Counselor - Mental Health in Whitehouse, TX

Active since October 23, 2024PECOS Enrolled
410 LANDON ST, WHITEHOUSE, TX 75791(903) 920-8537 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda M Kelly Lpc-a NPPES

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

AMANDA M KELLY LPC-A (NPI 1083435820) is an individual mental health provider in Whitehouse, Texas, licensed in Texas (96638) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083435820
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA M KELLYCredential: LPC-A
Location Address410 LANDON STWhitehouse, TX 75791-3757
Mailing Address410 Landon StWhitehouse, TX 75791-3757 · (903) 920-8537
Phone(903) 920-8537
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 23, 2024
Last NPPES UpdateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1083435820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 96638
410 LANDON ST, Whitehouse, TX 75791
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda M Kelly Lpc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325514060
PECOS Enrollment IDI20260420001972
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.

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 Amanda Kelly's NPI number?

The NPI number for Amanda Kelly is 1083435820. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Amanda Kelly located?

Amanda Kelly practices at 410 Landon St, Whitehouse, TX 75791. The listed phone number is (903) 920-8537.

What is Amanda Kelly's specialty?

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

Is Amanda Kelly enrolled in Medicare?

Yes. Amanda Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Kelly was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.