KELLE A WATSON MA LPC
NPI 1164403085
Counselor - Professional in Virginia Beach, VA

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
780 LYNNHAVEN PKWY STE 110, VIRGINIA BEACH, VA 23452(757) 301-8747 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Sep 17, 2024 (2 updates tracked since 2024).

About Kelle A Watson Ma Lpc NPPES

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

KELLE A WATSON MA LPC (NPI 1164403085) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701005236) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1164403085
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLE A WATSONCredential: MA LPC
Location Address780 LYNNHAVEN PKWY STE 110Virginia Beach, VA 23452-7351
Mailing Address780 Lynnhaven Pkwy Ste 110Virginia Beach, VA 23452-7351 · (757) 301-8747
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 8, 2005
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1164403085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701005236
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701005236 (VA)
780 LYNNHAVEN PKWY STE 110, Virginia Beach, VA 23452

Other Names 1

Other Name (5)Kelle Audrey Watson Ma Lpc

Secondary Practice Location 1

Location 1780 Lynnhaven Pkwy Ste 340Virginia Beach, VA 23452-7361 · Phone (757) 301-8747

Other Identifiers 1

Medicaid30015758110002VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelle A Watson Ma Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779929328
PECOS Enrollment IDI20240306001602
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 2

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

Counselor (Professional)
780 LYNNHAVEN PKWY STE 110
VIRGINIA BEACH, VA 23452
Counselor (Professional)
780 LYNNHAVEN PKWY STE 110
VIRGINIA BEACH, VA 23452

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 Kelle Watson's NPI number?

The NPI number for Kelle Watson is 1164403085. It was assigned to this individual provider in the NPPES registry on November 8, 2005. The provider is also known as Kelle Audrey Watson Ma Lpc.

Where is Kelle Watson located?

Kelle Watson practices at 780 Lynnhaven Pkwy Ste 110, Virginia Beach, VA 23452. The listed phone number is (757) 301-8747.

What is Kelle Watson's specialty?

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

Is Kelle Watson enrolled in Medicare?

Yes. Kelle Watson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelle Watson was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.