MRS. KELLY MICHELLE WHITE LCMHC
NPI 1285225193
Counselor - Mental Health in Lake Wylie, SC
About Mrs. Kelly Michelle White Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY MICHELLE WHITE LCMHC (NPI 1285225193) is an individual mental health provider in Lake Wylie, South Carolina, licensed in North Carolina (A16324) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Michelle White Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monroe, NC 28112
- Reassigned Medicare billing, North Carolina enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 White's NPI number?
The NPI number for Kelly White is 1285225193. It was assigned to this individual provider in the NPPES registry on February 2, 2021. The provider is also known as Kelly Michelle Montross.
Where is Kelly White located?
Kelly White practices at 4607 Charlotte Hwy Ste 18, Lake Wylie, SC 29710. The listed phone number is (803) 630-3247.
What is Kelly White's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly White enrolled in Medicare?
Yes. Kelly White is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly White reassigns Medicare benefits to Thrive Counseling Services, PLLC (Monroe, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly White was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kelly Michelle White, LCMHC · NPI 1285225193
Mental Health provider in Lake Wylie, South Carolina. Individual provider, active in the CMS NPPES registry since February 2, 2021.
## Identity
- **NPI:** 1285225193 (Entity type: Individual)
- **Enumerated:** February 2, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A16324 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4607 CHARLOTTE HWY STE 18, Lake Wylie, SC 29710-8149
- **Phone:** (803) 630-3247
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling Services, PLLC (NPI 1477961506, Monroe, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285225193) · Data from the CMS NPPES public registry.