KELLY SPENCE
NPI 1770948036
Counselor - Mental Health in Fulton, NY
About Kelly Spence NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SPENCE (NPI 1770948036) is an individual mental health provider in Fulton, New York, licensed in New York (006979) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oswego.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Spence is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Spence's NPI number?
The NPI number for Kelly Spence is 1770948036. It was assigned to this individual provider in the NPPES registry on December 30, 2015.
Where is Kelly Spence located?
Kelly Spence practices at 98 N 2nd St, Fulton, NY 13069. The listed phone number is (315) 326-3555.
What is Kelly Spence's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Spence enrolled in Medicare?
Yes. Kelly Spence is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Spence was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelly Spence · NPI 1770948036
Mental Health provider in Fulton, New York. Individual provider, active in the CMS NPPES registry since December 30, 2015.
## Identity
- **NPI:** 1770948036 (Entity type: Individual)
- **Enumerated:** December 30, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 006979 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 98 N 2ND ST, Fulton, NY 13069-1254
- **Phone:** (315) 326-3555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1770948036) · Data from the CMS NPPES public registry.