SAMANTHA KELLY LPC
NPI 1528817947
Counselor - Professional in Bethlehem, PA

Q: What is Samantha Kelly's NPI number?

The NPI number for Samantha Kelly is 1528817947. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Q: What is Samantha Kelly'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 Samantha Kelly was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 16, 2024PECOS Enrolled

2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017(484) 884-2485(484) 884-2603 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Samantha Kelly Lpc NPPES

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

SAMANTHA KELLY LPC (NPI 1528817947) is an individual professional provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (P016717) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528817947

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSAMANTHA KELLYCredential: LPC

Location Address2545 SCHOENERSVILLE RDBethlehem, PA 18017-7300

Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500 · Fax (484) 884-0699

Phone(484) 884-2485

Fax(484) 884-2603

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 16, 2024

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1528817947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · P016717

2545 SCHOENERSVILLE RD, Bethlehem, PA 18017

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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)

Samantha Kelly Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830663566

PECOS Enrollment IDI20260703000657

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 20

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

STEPHANIE A. COHRAC DO

Emergency Medicine