MS. KELLY S DWYER LPC
NPI 1386490217
Counselor - Professional in Portsmouth, VA

Q: What is Kelly Dwyer's NPI number?

The NPI number for Kelly Dwyer is 1386490217. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Q: What is Kelly Dwyer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Dwyer was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 30, 2024PECOS EnrolledAccepts Medicare Assignment

1811 KING ST, PORTSMOUTH, VA 23704(757) 393-8618 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, Apr 30, 2024 (2 updates tracked since 2024).

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About Ms. Kelly S Dwyer Lpc NPPES

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

MS. KELLY S DWYER LPC (NPI 1386490217) is an individual professional provider in Portsmouth, Virginia, licensed in Virginia (0701013510) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Suffolk, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1386490217

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. KELLY S DWYERCredential: LPC

Location Address1811 KING STPortsmouth, VA 23704-3032

Mailing Address5131 River Club Dr Ste 200Suffolk, VA 23435-3837 · (888) 513-1206

Phone(757) 393-8618

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 30, 2024

Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1386490217 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 VA · 0701013510

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0701013510 (VA)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0732007056 (VA)

1811 KING ST, Portsmouth, VA 23704

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Secondary Practice Location 1

Location 15131 River Club Dr Ste 200Suffolk, VA 23435-3837 · Phone (888) 513-1206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelly S Dwyer Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618400151

PECOS Enrollment IDI20241023001024

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 5

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

DR. LOUISA APONGSE AYAFOR NDAMUKONG MD

Psychiatry & Neurology (Psychiatry)