KELLY NICOLE CLEMENTE LPCC
NPI 1568158764
Counselor - Professional in Alexandria, VA

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment
3014 COLVIN ST STE 1-A, ALEXANDRIA, VA 22314(703) 936-6214 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Nicole Clemente Lpcc NPPES

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

KELLY NICOLE CLEMENTE LPCC (NPI 1568158764) is an individual professional provider in Alexandria, Virginia, licensed in Virginia (0701014745) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mc Lean, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568158764
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY NICOLE CLEMENTECredential: LPCC
Location Address3014 COLVIN ST STE 1-AAlexandria, VA 22314-5031
Mailing Address6233 Kellogg DrMc Lean, VA 22101-3124 · (571) 332-2167
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 12, 2023
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1568158764 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 VA · 0701014745
3014 COLVIN ST STE 1-A, Alexandria, VA 22314

Secondary Practice Location 1

Location 16233 Kellogg DrMc Lean, VA 22101-3124 · Phone (571) 332-2167

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Nicole Clemente 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 ID9739692302
PECOS Enrollment IDI20250627002567
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Clemente reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Virginia enrollment
  • 302 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

Counselor (Professional)
3014 COLVIN ST STE 1-A
ALEXANDRIA, VA 22314
Counselor (Professional)
3014 COLVIN ST STE 1-A
ALEXANDRIA, VA 22314
Counselor (Professional)
3014 COLVIN ST STE 1-A
ALEXANDRIA, VA 22314
Counselor (Professional)
3014 COLVIN ST STE 1-A
ALEXANDRIA, VA 22314
Social Worker (Clinical)
3014 COLVIN ST STE 1-A
ALEXANDRIA, VA 22314
Counselor (Professional)
3014 COLVIN ST STE 1-A
ALEXANDRIA, VA 22314
Social Worker
3014 COLVIN ST STE 1-A
ALEXANDRIA, VA 22314
Counselor (Mental Health)
3014 COLVIN ST STE 1-A
ALEXANDRIA, VA 22314

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 Clemente's NPI number?

The NPI number for Kelly Clemente is 1568158764. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Kelly Clemente located?

Kelly Clemente practices at 3014 Colvin St Ste 1-A, Alexandria, VA 22314. The listed phone number is (703) 936-6214.

What is Kelly Clemente's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Clemente enrolled in Medicare?

Yes. Kelly Clemente 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.

Which organization bills Medicare for Kelly Clemente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Clemente reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Clemente's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Clemente accept?

Health plans from Oscar Health list Kelly Clemente 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 Kelly Clemente was last updated on April 28, 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.