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MRS. KELLY LUANNE SCHETTINI M.S., N.C.C., LPC
NPI 1417226929
Counselor - Mental Health in Fayetteville, GA

Active since December 29, 2011PECOS Enrolled
170 BASTILLE WAY, SUITE C, GINGER RIDGE BEHAVIORAL HEALTH SERVICES, LLC, FAYETTEVILLE, GA 30214(770) 461-7010(770) 461-7100 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Luanne Schettini M.s., N.c.c., Lpc NPPES

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

MRS. KELLY LUANNE SCHETTINI M.S., N.C.C., LPC (NPI 1417226929) is an individual mental health provider in Fayetteville, Georgia, licensed in Georgia (LPC005211) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1417226929
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY LUANNE SCHETTINICredential: M.S., N.C.C., LPC
Location Address170 BASTILLE WAY, SUITE C, GINGER RIDGE BEHAVIORAL HEALTH SERVICES, LLCFayetteville, GA 30214
Mailing Address170 Bastille Way, Suite C, Ginger Ridge Behavioral Health Services, LlcFayetteville, GA 30214 · (770) 461-7010 · Fax (770) 461-7100
Phone(770) 461-7010
Fax(770) 461-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 29, 2011
✔ NPI 1417226929 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 · LPC005211
170 BASTILLE WAY, SUITE C, Fayetteville, GA 30214
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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 Luanne Schettini M.s., N.c.c., Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941796270
PECOS Enrollment IDI20260106004011
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.

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 Schettini's NPI number?

The NPI number for Kelly Schettini is 1417226929. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Kelly Schettini located?

Kelly Schettini practices at 170 Bastille Way, Suite C Ginger Ridge Behavioral Health Services, LLC, Fayetteville, GA 30214. The listed phone number is (770) 461-7010.

What is Kelly Schettini's specialty?

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

Is Kelly Schettini enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Schettini was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.