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KELLY PRICE LMHC
NPI 1265930499
Counselor - Mental Health in Fayetteville, NY

Active since January 23, 2018PECOS EnrolledAccepts Medicare Assignment
110 HOMEWOOD DR, FAYETTEVILLE, NY 13066(845) 490-9285 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Price Lmhc NPPES

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

KELLY PRICE LMHC (NPI 1265930499) is an individual mental health provider in Fayetteville, New York, licensed in New York (006906) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Syracuse, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1265930499
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY PRICECredential: LMHC
Location Address110 HOMEWOOD DRFayetteville, NY 13066-1216
Mailing Address329 N Salina StSyracuse, NY 13203-1755
Phone(845) 490-9285
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 23, 2018
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
✔ NPI 1265930499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 006906
110 HOMEWOOD DR, Fayetteville, NY 13066
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Secondary Practice Location 1

Location 1329 N Salina StSyracuse, NY 13203-1755 · Phone (315) 373-0361 ext. 154 · Fax (315) 471-2531

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

Kelly Price Lmhc 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 ID3072956416
PECOS Enrollment IDI20240213001599
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.

Frequently Asked Questions

What is Kelly Price's NPI number?

The NPI number assigned to this healthcare provider is 1265930499, enumerated as an "individual" on January 23, 2018.

Where is the provider located?

The provider is located at 110 HOMEWOOD DR FAYETTEVILLE, NY 13066 and the phone number is (845) 490-9285.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.