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KELLY A DUBORD LPC
NPI 1649370727
Counselor - Professional in Milwaukee, WI

Active since September 25, 2006PECOS Enrolled
2323 N LAKE DR FL 1, MILWAUKEE, WI 53211(414) 585-6120 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Dubord Lpc NPPES

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

KELLY A DUBORD LPC (NPI 1649370727) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (3633-125) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649370727
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY A DUBORDCredential: LPC
Location Address2323 N LAKE DR FL 1Milwaukee, WI 53211-4508
Mailing Address2323 N Lake Dr Fl 1Milwaukee, WI 53211-4508 · (414) 585-6120
Phone(414) 585-6120
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
✔ NPI 1649370727 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 WI · 3633-125
2323 N LAKE DR FL 1, Milwaukee, WI 53211
Open in Google Maps ↗

Other Identifiers 1

Medicaid41008600WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

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

ERIN ASHLEY CHRISTMAS NP
Nurse Practitioner (Psychiatric/Mental Health)
2323 N LAKE DR FL 1
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1620

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 Dubord's NPI number?

The NPI number for Kelly Dubord is 1649370727. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Kelly Dubord located?

Kelly Dubord practices at 2323 N Lake Dr Fl 1, Milwaukee, WI 53211. The listed phone number is (414) 585-6120.

What is Kelly Dubord's specialty?

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

Is Kelly Dubord enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Dubord was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.