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MISS SARAH KELLY LPC
NPI 1639972045
Counselor - Professional in Philadelphia, PA

Active since March 31, 2025PECOS Enrolled
1420 WALNUT ST STE 802, PHILADELPHIA, PA 19102(267) 629-5334 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Mar 31, 2025 (2 updates tracked since 2025).

About Miss Sarah Kelly Lpc NPPES

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

MISS SARAH KELLY LPC (NPI 1639972045) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC018368) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639972045
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS SARAH KELLYCredential: LPC
Location Address1420 WALNUT ST STE 802Philadelphia, PA 19102-4008
Mailing Address1420 Walnut St Ste 802Philadelphia, PA 19102-4008 · (610) 241-2688
Phone(267) 629-5334
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 31, 2025
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1639972045 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 · PC018368
1420 WALNUT ST STE 802, Philadelphia, PA 19102
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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)

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

PECOS PAC ID4587133368
PECOS Enrollment IDI20260521001395
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 6

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

EMILY SAIGE NESTEL LPC
Counselor (Professional)
1420 WALNUT ST STE 802
PHILADELPHIA, PA 19102
Philadelphia County (610) 544-2110
MS. MELISSA J RESSLER MA
Counselor (Professional)
1420 WALNUT ST STE 802
PHILADELPHIA, PA 19102
Philadelphia County (610) 544-2110
JULIE FURST MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1420 WALNUT ST STE 802
PHILADELPHIA, PA 19102
Philadelphia County (610) 544-2110
MEGAN M COVERT LPC
Counselor (Professional)
1420 WALNUT ST STE 802
PHILADELPHIA, PA 19102
Philadelphia County (610) 544-2110
NINA ALEXANDRA JUDD LPC
Counselor (Professional)
1420 WALNUT ST STE 802
PHILADELPHIA, PA 19102
Philadelphia County (610) 544-2110
OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C.
Psychologist (Counseling)
1420 WALNUT ST STE 802
PHILADELPHIA, PA 19102
Philadelphia County (610) 544-2110

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 Sarah Kelly's NPI number?

The NPI number for Sarah Kelly is 1639972045. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Sarah Kelly located?

Sarah Kelly practices at 1420 Walnut St Ste 802, Philadelphia, PA 19102. The listed phone number is (267) 629-5334.

What is Sarah Kelly's specialty?

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

Is Sarah Kelly enrolled in Medicare?

Yes. Sarah Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sarah Kelly was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.