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KELLY R WOLFE
NPI 1295366169
Counselor - Mental Health in Woodstock, GA

Active since January 30, 2020PECOS Enrolled
4595 TOWNE LAKE PKWY STE 250, WOODSTOCK, GA 30189(717) 478-8486 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly R Wolfe NPPES

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

KELLY R WOLFE (NPI 1295366169) is an individual mental health provider in Woodstock, Georgia, licensed in Georgia (APC006542) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295366169
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY R WOLFE
Location Address4595 TOWNE LAKE PKWY STE 250Woodstock, GA 30189-5514
Mailing Address104 Olde Heritage WayWoodstock, GA 30188-6121 · (717) 669-0484
Phone(717) 478-8486
Sole ProprietorNo
Enumeration DateJanuary 30, 2020
✔ NPI 1295366169 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 GA · APC006542
4595 TOWNE LAKE PKWY STE 250, Woodstock, GA 30189
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly R Wolfe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Wolfe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Of Georgia LLC
47 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285

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 8

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

MRS. KIMBERLY MEREDITH LAPC
Counselor (Professional)
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189
Cherokee County (770) 403-1120
ABIGAIL SHETLER
Counselor
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189
Cherokee County (678) 403-1120
OLIVE ANENO LCSW
Social Worker (Clinical)
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189
Cherokee County (678) 250-6346
LOVE EMPOWER MENTOR LLC
Social Worker (Clinical)
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189
Cherokee County (678) 250-6346
JILL KATHLEEN BLOEMKER
Counselor (Professional)
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189
Cherokee County (678) 407-1120
MPD CONSULTING, INC
Social Worker (Clinical)
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189
Cherokee County (470) 223-7645
DANIELLE O'KELLY
Counselor (Mental Health)
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189
Cherokee County (678) 403-1120
BRITTANY FRANKLIN
Social Worker
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189
Cherokee County (678) 403-1120

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 Wolfe's NPI number?

The NPI number for Kelly Wolfe is 1295366169. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Kelly Wolfe located?

Kelly Wolfe practices at 4595 Towne Lake Pkwy Ste 250, Woodstock, GA 30189. The listed phone number is (717) 478-8486.

What is Kelly Wolfe's specialty?

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

Is Kelly Wolfe enrolled in Medicare?

Yes. Kelly Wolfe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Wolfe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wolfe reassigns Medicare benefits to Privia Medical Group Of Georgia LLC (Fayetteville, GA). 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 Wolfe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Wolfe accept?

Health plans from Alliant Health Plans, Inc. list Kelly Wolfe 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 Wolfe was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.