KELLY O'DONNELL
NPI 1174999635
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC
About Kelly O'donnell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY O'DONNELL (NPI 1174999635) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (LCAS-21515) and active in the NPI registry since August 2015. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kelly O'donnell 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 January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
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 Kelly O'donnell's NPI number?
The NPI number for Kelly O'donnell is 1174999635. It was assigned to this individual provider in the NPPES registry on August 18, 2015.
Where is Kelly O'donnell located?
Kelly O'donnell practices at 3705 Latrobe Dr Suite 340, Charlotte, NC 28211. The listed phone number is (704) 364-3989.
What is Kelly O'donnell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Kelly O'donnell enrolled in Medicare?
No. Kelly O'donnell has opted out of Medicare through January 1, 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 Kelly O'donnell was last updated on August 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.
