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JILL SUZANNE KELLEY
NPI 1790814374
Counselor - Professional in Hartsville, SC

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
5003 UNA RD, HARTSVILLE, SC 29550(843) 307-4762(843) 962-5147 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jill Suzanne Kelley NPPES

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

JILL SUZANNE KELLEY (NPI 1790814374) is an individual professional provider in Hartsville, South Carolina, licensed in South Carolina (6048) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790814374
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJILL SUZANNE KELLEY
Location Address5003 UNA RDHartsville, SC 29550-1954
Mailing Address5003 Una RdHartsville, SC 29550-1954 · (843) 307-4762 · Fax (843) 857-4437
Phone(843) 307-4762
Fax(843) 962-5147
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 2, 2007
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1790814374 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 SC · 6048
5003 UNA RD, Hartsville, SC 29550
Open in Google Maps ↗

Other Identifiers 1

Medicaid376241SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jill Suzanne Kelley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547600199
PECOS Enrollment IDI20240716001735
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 8

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

MADGE W ZEMP LPC
Counselor (Professional)
5003 UNA RD
HARTSVILLE, SC 29550
Darlington County (843) 453-9985
MS. MEAGAN HRUSKA
Counselor (Mental Health)
5003 UNA RD
HARTSVILLE, SC 29550
Darlington County (843) 453-9985
DEBORAH LYNN ALEXANDER M.S., LPC, NCC, CACI
Counselor (Professional)
5003 UNA RD
HARTSVILLE, SC 29550
Darlington County (843) 453-9985
PALMETTO COUNSELING OF HARTSVILLE LLC
Counselor (Professional)
5003 UNA RD
HARTSVILLE, SC 29550
Darlington County (843) 453-9985
LYDIA COX
Counselor (Mental Health)
5003 UNA RD
HARTSVILLE, SC 29550
Darlington County (843) 430-2671
MRS. TIFFANY COWARD MIXON LPC
Counselor (Mental Health)
5003 UNA RD
HARTSVILLE, SC 29550
Darlington County (843) 319-0075
EQUINE INTERVENTION, LLC
Counselor (Professional)
5003 UNA RD
HARTSVILLE, SC 29550
Darlington County (843) 453-9985
SARAH DEAS STEPHENS
Counselor (Professional)
5003 UNA RD
HARTSVILLE, SC 29550
Darlington County (843) 731-4138

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 Jill Kelley's NPI number?

The NPI number for Jill Kelley is 1790814374. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Jill Kelley located?

Jill Kelley practices at 5003 Una Rd, Hartsville, SC 29550. The listed phone number is (843) 307-4762.

What is Jill Kelley's specialty?

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

Is Jill Kelley enrolled in Medicare?

Yes. Jill Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jill Kelley accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Jill Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jill Kelley was last updated on January 22, 2024. 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.