MRS. KELLI MARIE EGNACZAK LCMHCS, LCAS
NPI 1144193087
Counselor - Mental Health in Durham, NC

Q: What is Kelli Egnaczak's NPI number?

The NPI number for Kelli Egnaczak is 1144193087. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Q: What is Kelli Egnaczak's specialty?

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

Q: Is Kelli Egnaczak enrolled in Medicare?

No. Kelli Egnaczak has opted out of Medicare through July 23, 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 Kelli Egnaczak was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 September 26, 2025Opted out of Medicare · through Jul 23, 2028

PSYCHIATRIC SERVICES AND CONSULTATION, 20 WEST COLONY PLACE #260, DURHAM, NC 27705(919) 748-4540(919) 748-4564 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mrs. Kelli Marie Egnaczak Lcmhcs, Lcas NPPES

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

MRS. KELLI MARIE EGNACZAK LCMHCS, LCAS (NPI 1144193087) is an individual mental health provider in Durham, North Carolina, licensed in North Carolina (5155S) and active in the NPI registry since September 2025. She has opted out of Medicare through July 23, 2028.

NPPES Registry Identity

NPI1144193087

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. KELLI MARIE EGNACZAKCredential: LCMHCS, LCAS

Location AddressPSYCHIATRIC SERVICES AND CONSULTATION, 20 WEST COLONY PLACE #260Durham, NC 27705

Mailing AddressPsychiatric Services And Consultation, 20 West Colony Place #260Durham, NC 27705 · (919) 748-4540 · Fax (919) 748-4564

Phone(919) 748-4540

Fax(919) 748-4564

Sole ProprietorYes

Enumeration DateSeptember 26, 2025

✔ NPI 1144193087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 5155S

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 144 (NC)

PSYCHIATRIC SERVICES AND CONSULTATION, Durham, NC 27705

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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

Mrs. Kelli Marie Egnaczak Lcmhcs, Lcas 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 July 23, 2026 through July 23, 2028.

Opt-Out Effective DateJuly 23, 2026

Opt-Out In Effect ThroughJuly 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kelli Egnaczak's NPI number?

The NPI number for Kelli Egnaczak is 1144193087. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Where is Kelli Egnaczak located?

Kelli Egnaczak practices at Psychiatric Services And Consultation 20 West Colony Place #260, Durham, NC 27705. The listed phone number is (919) 748-4540.

What is Kelli Egnaczak's specialty?

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

Is Kelli Egnaczak enrolled in Medicare?

No. Kelli Egnaczak has opted out of Medicare through July 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelli Egnaczak was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.