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KELLY LEIGH HACKNEY LPC
NPI 1699306563
Counselor - Professional in Cedar Bluff, VA

Active since January 30, 2020PECOS Enrolled
113 CUMBERLAND ROAD, CEDAR BLUFF, VA 24609(276) 964-6702(276) 964-0292 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 12, 2025, Jan 30, 2020 (2 updates tracked since 2020).

About Kelly Leigh Hackney Lpc NPPES

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

KELLY LEIGH HACKNEY LPC (NPI 1699306563) is an individual professional provider in Cedar Bluff, Virginia, licensed in Virginia (0701008891) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1699306563
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY LEIGH HACKNEYCredential: LPC
Location Address113 CUMBERLAND ROADCedar Bluff, VA 24609-0810
Mailing AddressPo Box 283Big Rock, VA 24603-0283 · (276) 337-8442
Phone(276) 964-6702
Fax(276) 964-0292
Sole ProprietorNo
Enumeration DateJanuary 30, 2020
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1699306563 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 · 0701008891
113 CUMBERLAND ROAD, Cedar Bluff, VA 24609
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Leigh Gilliam Lpc

Secondary Practice Locations 5

Location 11014 Stillhouse Hollow RoadGrundy, VA 24614 · Phone (276) 935-7154
Location 278 Rogers StreetLebanon, VA 24266 · Phone (276) 935-7154
Location 3196 Cumberland RdCedar Bluff, VA 24609-1137 · Phone (276) 964-6702
Location 4216 Gilmer StreetLebanon, VA 24266 · Phone (276) 889-3063
Location 5526 West Main StreetTazewell, VA 24651 · Phone (276) 988-7961

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Leigh Hackney 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Hackney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cumberland Mountain Community Services
Same address
Community/Behavioral Health
113 CUMBERLAND RD
Cedar Bluff, VA 24609
  • Reassigned Medicare billing, Virginia enrollment
  • 20 clinicians in this Medicare group
NPI 1235125055 (276) 964-6702
Grow Healthcare Group PA
780 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 20

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

ALISSA JOI DEEL LPC
Counselor (Professional)
113 CUMBERLAND ROAD
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702
JENNIFER ROBIN SWORD LPC
Counselor (Professional)
113 CUMBERLAND ROAD
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702
KAYLA A SHEPHERD
Counselor (Professional)
113 CUMBERLAND ROAD
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702
SAVANNAH DESIREE MILLER LPC
Counselor (Professional)
113 CUMBERLAND ROAD
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702
EVANGELINE HOPE FENNEWALD LPC
Counselor (Professional)
113 CUMBERLAND ROAD
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702
MRS. EMALENE C COOK RN NP
Nurse Practitioner
113 CUMBERLAND ROAD
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702
MISTY DAWN VANCE LCSW
Social Worker (Clinical)
113 CUMBERLAND ROAD
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702
GLENDA LOCKHART LPC
Counselor (Professional)
113 CUMBERLAND ROAD
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702

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 Hackney's NPI number?

The NPI number for Kelly Hackney is 1699306563. It was assigned to this individual provider in the NPPES registry on January 30, 2020. The provider is also known as Kelly Leigh Gilliam Lpc.

Where is Kelly Hackney located?

Kelly Hackney practices at 113 Cumberland Road, Cedar Bluff, VA 24609. The listed phone number is (276) 964-6702.

What is Kelly Hackney's specialty?

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

Is Kelly Hackney enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Hackney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hackney reassigns Medicare benefits to 2 organizations: Cumberland Mountain Community Services (Cedar Bluff, VA) and Grow Healthcare Group PA (Miami, FL). Each 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 Hackney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Hackney was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.