KELSIE RUTLEDGE BRYANT LPC
NPI 1104701085
Counselor - Professional in Blacksburg, VA

Active since August 08, 2025PECOS Enrolled
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060(540) 961-8300(540) 961-8465 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsie Rutledge Bryant Lpc NPPES

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

KELSIE RUTLEDGE BRYANT LPC (NPI 1104701085) is an individual professional provider in Blacksburg, Virginia, licensed in Virginia (0701015191) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104701085
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELSIE RUTLEDGE BRYANTCredential: LPC
Location Address700 UNIVERSITY CITY BLVDBlacksburg, VA 24060-2706
Mailing Address700 University City BlvdBlacksburg, VA 24060-2706 · (540) 961-8300 · Fax (540) 961-8465
Fax(540) 961-8465
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
NPI 1104701085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701015191
700 UNIVERSITY CITY BLVD, Blacksburg, VA 24060

Other Names 1

Former Name (1)Kelsie Rutledge Lpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelsie Rutledge Bryant Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658874409
PECOS Enrollment IDI20250909004530
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.

Counselor (Professional)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Social Worker (Clinical)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Counselor (Professional)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Psychiatry & Neurology (Psychiatry)
700 UNIVERSITY CITY BLVD, MEDICAL SERVICES, NRVCS
BLACKSBURG, VA 24060
Social Worker (Clinical)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Counselor (Professional)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Social Worker (Clinical)
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060
Psychiatry & Neurology (Psychiatry)
700 UNIVERSITY CITY BLVD, NEW RIVER COMMUNITY SERVICES
BLACKSBURG, VA 24060

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 Kelsie Bryant's NPI number?

The NPI number for Kelsie Bryant is 1104701085. It was assigned to this individual provider in the NPPES registry on August 8, 2025. The provider is also known as Kelsie Rutledge Lpc.

Where is Kelsie Bryant located?

Kelsie Bryant practices at 700 University City Blvd, Blacksburg, VA 24060. The listed phone number is (540) 961-8300.

What is Kelsie Bryant's specialty?

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

Is Kelsie Bryant enrolled in Medicare?

Yes. Kelsie Bryant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsie Bryant was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.