MRS. KELLY LUTHER KOEBEL LPC
NPI 1164753935
Counselor - Professional in Martinsville, VA

Q: What is Kelly Koebel's NPI number?

The NPI number for Kelly Koebel is 1164753935. It was assigned to this individual provider in the NPPES registry on January 19, 2010. The provider is also known as Ms. Kelly Marie Luther Lpc.

Q: What is Kelly Koebel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Koebel was last updated on February 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2010PECOS Enrolled

24 CLAY ST, MARTINSVILLE, VA 24112(276) 632-7128(276) 632-0127 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kelly Luther Koebel Lpc NPPES

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

MRS. KELLY LUTHER KOEBEL LPC (NPI 1164753935) is an individual professional provider in Martinsville, Virginia, licensed in Virginia (0701004759) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164753935

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KELLY LUTHER KOEBELCredential: LPC

Location Address24 CLAY STMartinsville, VA 24112-2810

Mailing Address24 Clay StMartinsville, VA 24112-2810 · (276) 632-7128 · Fax (276) 632-0127

Phone(276) 632-7128

Fax(276) 632-0127

Sole ProprietorNo

Enumeration DateJanuary 19, 2010

Last NPPES UpdateFebruary 20, 2024

✔ NPI 1164753935 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 · 0701004759

24 CLAY ST, Martinsville, VA 24112

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Other Names 1

Former Name (1)Ms. Kelly Marie Luther Lpc

Other Identifiers 1

Medicaid004945221VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Luther Koebel Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

LISA MCINTOSH LPC

Counselor (Professional)