KARISSA KELLEY LPC, CT
NPI 1265082473
Counselor - Professional in Chambersburg, PA

Active since September 19, 2019Opted out of Medicare · through Aug 27, 2026
352 LANTERN LN, CHAMBERSBURG, PA 17201(267) 469-0694(215) 689-1533 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2022, Sep 19, 2019 (2 updates tracked since 2019).

About Karissa Kelley Lpc, Ct NPPES

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

KARISSA KELLEY LPC, CT (NPI 1265082473) is an individual professional provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (PC009412) and active in the NPI registry since September 2019. She has opted out of Medicare through August 27, 2026.

NPPES Registry Identity

NPI1265082473
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKARISSA KELLEYCredential: LPC, CT
Location Address352 LANTERN LNChambersburg, PA 17201-3299
Mailing Address352 Lantern LnChambersburg, PA 17201-3299 · (267) 469-0694 · Fax (215) 689-1533
Fax(215) 689-1533
Sole ProprietorNo
Enumeration DateSeptember 19, 2019
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
NPI 1265082473 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 PA · PC009412
352 LANTERN LN, Chambersburg, PA 17201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Karissa Kelley Lpc, Ct 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 August 27, 2024 through August 27, 2026.

Opt-Out Effective DateAugust 27, 2024
Opt-Out In Effect ThroughAugust 27, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
352 LANTERN LN
CHAMBERSBURG, PA 17201

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 Karissa Kelley's NPI number?

The NPI number for Karissa Kelley is 1265082473. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Karissa Kelley located?

Karissa Kelley practices at 352 Lantern Ln, Chambersburg, PA 17201. The listed phone number is (267) 469-0694.

What is Karissa Kelley's specialty?

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

Is Karissa Kelley enrolled in Medicare?

No. Karissa Kelley has opted out of Medicare through August 27, 2026. 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 Karissa Kelley was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.