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KELLY HARRISON COUNSELING PLLC
NPI 1568929503
Counselor - Mental Health in Raleigh, NC

Active since February 26, 2019
4030 WAKE FOREST RD STE 206, RALEIGH, NC 27609(919) 713-0260(919) 591-0161 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2025, Feb 26, 2019 (2 updates tracked since 2019).

About Kelly Harrison Counseling Pllc NPPES

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

KELLY HARRISON COUNSELING PLLC (NPI 1568929503) is a healthcare organization registered as a mental health in Raleigh, North Carolina and active in the NPI registry since February 2019. The organization lists Kelly Lynn Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1568929503
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKELLY HARRISON COUNSELING PLLC
Location Address4030 WAKE FOREST RD STE 206Raleigh, NC 27609-6800
Mailing Address4030 Wake Forest Rd Ste 206Raleigh, NC 27609-6800 · (919) 713-0260 · Fax (919) 591-0161
Phone(919) 713-0260
Fax(919) 591-0161
Organization SubpartNo
Authorized OfficialKelly Lynn HarrisonOwner · (919) 713-0260
Enumeration DateFebruary 26, 2019
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1568929503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4030 WAKE FOREST RD STE 206, Raleigh, NC 27609
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Harrison Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kelly Harrison Counseling PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kelly Harrison, MACC
Mental Health Counselor
NPI 1033458500
183 WIND CHIME COURT SUITE 100
Raleigh, NC 27615
(919) 848-0132
✔ PECOS✔ Accepts Medicare3.2 mi
Susan Dumire, PMHNP
Nurse Practitioner
NPI 1285230169
212 TOWNE VILLAGE DR
Cary, NC 27513
(919) 377-1042
✔ PECOS✔ Accepts Medicare13 mi

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

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 Harrison Counseling PLLC's NPI number?

The NPI number for Kelly Harrison Counseling PLLC is 1568929503. It was assigned to this organization in the NPPES registry on February 26, 2019.

Where is Kelly Harrison Counseling PLLC located?

Kelly Harrison Counseling PLLC is located at 4030 Wake Forest Rd Ste 206, Raleigh, NC 27609. The listed phone number is (919) 713-0260.

What is Kelly Harrison Counseling PLLC's specialty?

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

Is Kelly Harrison Counseling PLLC enrolled in Medicare?

Yes. Kelly Harrison Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Harrison Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kelly Harrison Counseling PLLC, in Mental Health Counselor and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kelly Harrison Counseling PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Harrison Counseling PLLC 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 Harrison Counseling PLLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.