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MRS. KELLY DEATON TOLLIVER M.ED, LPCC
NPI 1417295312
Counselor - Mental Health in London, KY

Active since January 28, 2013PECOS EnrolledAccepts Medicare Assignment
202 W 7TH ST STE 200, LONDON, KY 40741(606) 657-0532(606) 657-0532 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 19, 2026, Nov 3, 2023, Sep 29, 2020 and 1 more (4 updates tracked since 2018).

About Mrs. Kelly Deaton Tolliver M.ed, Lpcc NPPES

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

MRS. KELLY DEATON TOLLIVER M.ED, LPCC (NPI 1417295312) is an individual mental health provider in London, Kentucky, licensed in Kentucky (LPCC-KY-245479) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417295312
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY DEATON TOLLIVERCredential: M.ED, LPCC
Location Address202 W 7TH ST STE 200London, KY 40741-1763
Mailing AddressPo Box 1954London, KY 40743-1954 · (606) 657-0532 · Fax (606) 657-0532
Phone(606) 657-0532
Fax(606) 657-0532
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 28, 2013
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1417295312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in KY · LPCC-KY-245479
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LPCA KY-1506 (KY)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 245479 (KY)
202 W 7TH ST STE 200, London, KY 40741
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100573130KY

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

Mrs. Kelly Deaton Tolliver M.ed, Lpcc 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 ID9931551298
PECOS Enrollment IDI20240123000759
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 3

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

SOUTHEAST KENTUCKY BEHAVIORAL HEALTH
Social Worker (Clinical)
202 W 7TH ST STE 200
LONDON, KY 40741
Laurel County (606) 657-0532
MR. JOHN S COLLIER MSW, LCSW
Social Worker (Clinical)
202 W 7TH ST STE 200
LONDON, KY 40741
Laurel County (606) 657-0532
TABITHA BARGO
Case Manager/Care Coordinator
202 W 7TH ST STE 200
LONDON, KY 40741
Laurel County (606) 657-0532

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 Tolliver's NPI number?

The NPI number for Kelly Tolliver is 1417295312. It was assigned to this individual provider in the NPPES registry on January 28, 2013.

Where is Kelly Tolliver located?

Kelly Tolliver practices at 202 W 7th St Ste 200, London, KY 40741. The listed phone number is (606) 657-0532.

What is Kelly Tolliver's specialty?

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

Is Kelly Tolliver enrolled in Medicare?

Yes. Kelly Tolliver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Tolliver was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.