MRS. KELLY MICHELLE WHITE LCMHC
NPI 1285225193
Counselor - Mental Health in Lake Wylie, SC

Active since February 02, 2021PECOS Enrolled
4607 CHARLOTTE HWY STE 18, LAKE WYLIE, SC 29710(803) 630-3247 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1285225193
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY MICHELLE WHITECredential: LCMHC
Location Address4607 CHARLOTTE HWY STE 18Lake Wylie, SC 29710-8149
Mailing Address3022 Oakmere RdWaxhaw, NC 28173-6042 · (704) 604-7196
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1285225193 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 NC · A16324
4607 CHARLOTTE HWY STE 18, Lake Wylie, SC 29710

Other Names 1

Former Name (1)Kelly Michelle Montross

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kelly Michelle White Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224503016
PECOS Enrollment IDI20260409000980
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.

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 (Mental Health)
4607 CHARLOTTE HWY STE 18
LAKE WYLIE, SC 29710

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.

What insurance does Kelly White accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.