KELLY M HARRIS LPC, NCC
NPI 1477199057
Counselor - Mental Health in Atlanta, GA

Active since November 19, 2019Opted out of Medicare · through Mar 13, 2028
2531 BRIARCLIFF RD NE STE 203, ATLANTA, GA 30329(678) 849-4777 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly M Harris Lpc, Ncc NPPES

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

KELLY M HARRIS LPC, NCC (NPI 1477199057) is an individual mental health provider in Atlanta, Georgia, licensed in Georgia (LPC009410) and active in the NPI registry since November 2019. She has opted out of Medicare through March 13, 2028.

NPPES Registry Identity

NPI1477199057
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY M HARRISCredential: LPC, NCC
Location Address2531 BRIARCLIFF RD NE STE 203Atlanta, GA 30329-3017
Mailing Address2218 Rugby AveCollege Park, GA 30337-1019 · (678) 849-4777
Sole ProprietorYes
Enumeration DateNovember 19, 2019
Last NPPES UpdateNovember 20, 2019
NPI 1477199057 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 · LPC009410
2531 BRIARCLIFF RD NE STE 203, Atlanta, GA 30329

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly M Harris Lpc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 13, 2024 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2024
Opt-Out In Effect ThroughMarch 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
2531 BRIARCLIFF RD NE STE 203
ATLANTA, GA 30329

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 Harris's NPI number?

The NPI number for Kelly Harris is 1477199057. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Kelly Harris located?

Kelly Harris practices at 2531 Briarcliff Rd NE Ste 203, Atlanta, GA 30329. The listed phone number is (678) 849-4777.

What is Kelly Harris's specialty?

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

Is Kelly Harris enrolled in Medicare?

No. Kelly Harris has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Harris was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.