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MRS. KIM J KELLY LCAS
NPI 1730457193
Counselor - Addiction (Substance Use Disorder) in Selma, NC

Active since December 13, 2011
200 S POLLOCK ST, SELMA, NC 27576(919) 965-6770(919) 965-0196 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kim J Kelly Lcas NPPES

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

MRS. KIM J KELLY LCAS (NPI 1730457193) is an individual addiction (substance use disorder) provider in Selma, North Carolina, licensed in North Carolina (2526) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1730457193
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. KIM J KELLYCredential: LCAS
Location Address200 S POLLOCK STSelma, NC 27576-3062
Mailing Address205 Westwood DrGreenville, NC 27834-5015 · (252) 412-1963
Phone(919) 965-6770
Fax(919) 965-0196
Sole ProprietorYes
Enumeration DateDecember 13, 2011
Last NPPES UpdateFebruary 25, 2016
✔ NPI 1730457193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 2526
Also ListedCounselorTaxonomy 101Y00000X · License 2526 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2526 (NC)
200 S POLLOCK ST, Selma, NC 27576
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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.

CALLIE SMITH LCSWA
Social Worker (Clinical)
200 S POLLOCK ST
SELMA, NC 27576
Johnston County (919) 965-6770
KIMBERLY DAVIS LCSWA
Social Worker (Clinical)
200 S POLLOCK ST
SELMA, NC 27576
Johnston County (919) 965-6770
CAROLINA SUPPORT SERVICES, INC
Community/Behavioral Health
200 S POLLOCK ST
SELMA, NC 27576
Johnston County (919) 965-6770
JUDITH BATAMULIZA BUSHAIJA MSW LCSWA
Counselor (Mental Health)
200 S POLLOCK ST
SELMA, NC 27576
Johnston County (574) 360-2226
THE LAWSON'S HOUSE
Community/Behavioral Health
200 S POLLOCK ST
SELMA, NC 27576
Johnston County (919) 965-0191
SARAH CRAIG LCSW-A
Social Worker (Clinical)
200 S POLLOCK ST
SELMA, NC 27576
Johnston County (919) 965-6770

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 Kim Kelly's NPI number?

The NPI number for Kim Kelly is 1730457193. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Kim Kelly located?

Kim Kelly practices at 200 S Pollock St, Selma, NC 27576. The listed phone number is (919) 965-6770.

What is Kim Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kim Kelly was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.