KELLIE MICHELLE ROSS LCAS
NPI 1417321563
Counselor - Addiction (Substance Use Disorder) in Fayetteville, NC

Active since November 30, 2015PECOS Enrolled
439 RAMSEY ST, FAYETTEVILLE, NC 28301(919) 787-6131 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Nov 30, 2015 (2 updates tracked since 2015).

About Kellie Michelle Ross Lcas NPPES

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

KELLIE MICHELLE ROSS LCAS (NPI 1417321563) is an individual addiction (substance use disorder) provider in Fayetteville, North Carolina, licensed in North Carolina (LCAS-21914) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417321563
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLIE MICHELLE ROSSCredential: LCAS
Location Address439 RAMSEY STFayetteville, NC 28301-4909
Mailing Address3125 Poplarwood Ct Ste 203Raleigh, NC 27604-6445 · (919) 787-6131 · Fax (919) 571-2932
Sole ProprietorYes
Enumeration DateNovember 30, 2015
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
NPI 1417321563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NC · LCAS-21914
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCAS-21914 (NC)
439 RAMSEY ST, Fayetteville, NC 28301

Accepted 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)

Kellie Michelle Ross Lcas 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.

Social Worker (Clinical)
439 RAMSEY ST
FAYETTEVILLE, NC 28301
Social Worker (Clinical)
439 RAMSEY ST
FAYETTEVILLE, NC 28301

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 Kellie Ross's NPI number?

The NPI number for Kellie Ross is 1417321563. It was assigned to this individual provider in the NPPES registry on November 30, 2015.

Where is Kellie Ross located?

Kellie Ross practices at 439 Ramsey St, Fayetteville, NC 28301. The listed phone number is (919) 787-6131.

What is Kellie Ross's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kellie Ross enrolled in Medicare?

Yes. Kellie Ross is registered in the Medicare PECOS enrollment system.

What insurance does Kellie Ross accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kellie Ross 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 Kellie Ross was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.