KELLIE EDEN REICH LPC
NPI 1639978570
Counselor - Professional in Lawrenceville, GA
About Kellie Eden Reich Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE EDEN REICH LPC (NPI 1639978570) is an individual professional provider in Lawrenceville, Georgia, licensed in Georgia (LPC015579) and active in the NPI registry since March 2025. She has opted out of Medicare through April 14, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kellie Eden Reich Lpc 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 April 14, 2025 through April 14, 2027.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Kellie Reich's NPI number?
The NPI number for Kellie Reich is 1639978570. It was assigned to this individual provider in the NPPES registry on March 12, 2025.
Where is Kellie Reich located?
Kellie Reich practices at 555 Old Norcross Rd Ste 200, Lawrenceville, GA 30046. The listed phone number is (470) 222-7758.
What is Kellie Reich's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kellie Reich enrolled in Medicare?
No. Kellie Reich has opted out of Medicare through April 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kellie Reich was last updated on March 12, 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.
# Kellie Eden Reich, LPC · NPI 1639978570
Professional provider in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since March 12, 2025.
## Identity
- **NPI:** 1639978570 (Entity type: Individual)
- **Enumerated:** March 12, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC015579 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 OLD NORCROSS RD STE 200, Lawrenceville, GA 30046-8722
- **Phone:** (470) 222-7758
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 14, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639978570) · Data from the CMS NPPES public registry.