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KENNETH D KELLY MA, LPC
NPI 1285212159
Counselor - Mental Health in Columbia, SC

Active since March 31, 2021
2309 DEVINE ST, COLUMBIA, SC 29205(803) 250-1947 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2022, Mar 31, 2021 (2 updates tracked since 2021).

About Kenneth D Kelly Ma, Lpc NPPES

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

KENNETH D KELLY MA, LPC (NPI 1285212159) is an individual mental health provider in Columbia, South Carolina, licensed in South Carolina (7756) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1285212159
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENNETH D KELLYCredential: MA, LPC
Location Address2309 DEVINE STColumbia, SC 29205-2422
Mailing Address2309 Devine StColumbia, SC 29205-2422 · (803) 250-1947
Phone(803) 250-1947
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1285212159 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 SC · 7756
2309 DEVINE ST, Columbia, SC 29205
Open in Google Maps ↗

Other Identifiers 1

Other3857No Insurance

Other Providers at the Same Location NPPES 4

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

ELIZABETH ANNE MONEY RDN, CSSD, LD
Dietitian, Registered
2309 DEVINE ST
COLUMBIA, SC 29205
Richland County (803) 814-5392
SIMPLY NUTRITION
Dietitian, Registered
2309 DEVINE ST
COLUMBIA, SC 29205
Richland County (423) 748-5392
SAMANTHA MOGABGAB
Counselor (Mental Health)
2309 DEVINE ST
COLUMBIA, SC 29205
Richland County (980) 621-4523
KEALANI DAVIS RD
Dietitian, Registered
2309 DEVINE ST
COLUMBIA, SC 29205
Richland County (864) 238-3878

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 Kenneth Kelly's NPI number?

The NPI number for Kenneth Kelly is 1285212159. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Kenneth Kelly located?

Kenneth Kelly practices at 2309 Devine St, Columbia, SC 29205. The listed phone number is (803) 250-1947.

What is Kenneth Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Kelly was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.