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MRS. SUZANNE AUTREY KELLY LPC,LCAS,CEAP
NPI 1366420192
Counselor - Professional in Yadkinville, NC

Active since January 03, 2006PECOS Enrolled
110 W ELM ST, YADKINVILLE, NC 27055(336) 677-3991(336) 677-1359 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Suzanne Autrey Kelly Lpc,lcas,ceap NPPES

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

MRS. SUZANNE AUTREY KELLY LPC,LCAS,CEAP (NPI 1366420192) is an individual professional provider in Yadkinville, North Carolina, licensed in North Carolina (1070) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366420192
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SUZANNE AUTREY KELLYCredential: LPC,LCAS,CEAP
Location Address110 W ELM STYadkinville, NC 27055-1758
Mailing Address110 W Elm St # 1758Yadkinville, NC 27055-8203 · (336) 466-1053 · Fax (336) 677-1359
Phone(336) 677-3991
Fax(336) 677-1359
Sole ProprietorYes
Enumeration DateJanuary 3, 2006
Last NPPES UpdateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1366420192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 1070
Also ListedCounselorTaxonomy 101Y00000X · License 60 (NC)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1223 (NC)
110 W ELM ST, Yadkinville, NC 27055
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Other Identifiers 2

Medicaid6112226NC
Other1005HNC · Bcbs Of North Carolina

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Suzanne Autrey Kelly Lpc,lcas,ceap 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.

Other Providers at the Same Location NPPES 2

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

BLUE RIDGE COUNSELING
Counselor (Professional)
110 W ELM ST
YADKINVILLE, NC 27055
Yadkin County (336) 677-3991
H. DIANE JENKINS, LLC
Community/Behavioral Health
110 W ELM ST
YADKINVILLE, NC 27055
Yadkin County (336) 575-3747

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 Suzanne Kelly's NPI number?

The NPI number for Suzanne Kelly is 1366420192. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Suzanne Kelly located?

Suzanne Kelly practices at 110 W Elm St, Yadkinville, NC 27055. The listed phone number is (336) 677-3991.

What is Suzanne Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Suzanne Kelly enrolled in Medicare?

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

What insurance does Suzanne Kelly accept?

Health plans from Blue Cross and Blue Shield of NC list Suzanne Kelly 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 Suzanne Kelly was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.