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DENISE CLINE KELLY
NPI 1821878463
Counselor in Conway, SC

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
2404 WISE RD, CONWAY, SC 29526(843) 365-8884 Get Directions Write a Review

NPPES record last updated: November 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2023, Oct 2, 2023 (2 updates tracked since 2023).

About Denise Cline Kelly NPPES

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

DENISE CLINE KELLY (NPI 1821878463) is an individual counselor in Conway, South Carolina and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821878463
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDENISE CLINE KELLY
Location Address2404 WISE RDConway, SC 29526-5521
Mailing Address114 Comfort LnPawleys Island, SC 29585-5553 · (704) 804-4293
Phone(843) 365-8884
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 2, 2023
Last NPPES UpdateNovember 11, 20232 updates tracked since enumeration
NPPES CertifiedNovember 11, 2023
✔ NPI 1821878463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2404 WISE RD, Conway, SC 29526
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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

Denise Cline Kelly 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 ID5395225023
PECOS Enrollment IDI20260212003327
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 20

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

LATOYA LAWRENCE
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
SABRINA JELKS LMSW
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
HANNA GRACE HARDEE
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MR. STEPHEN BRADLEY COOK M.ED.
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
CHRISTIAN BERTLEMANN
Counselor
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MATTHEW PARTON MS, ADC-IP
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MS. ERIKA POMERANTZ
Counselor (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884
MRS. CHRISTINE WRIGHT RN-BC
Registered Nurse (Addiction (Substance Use Disorder))
2404 WISE RD
CONWAY, SC 29526
Horry County (843) 365-8884

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 Denise Kelly's NPI number?

The NPI number for Denise Kelly is 1821878463. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Denise Kelly located?

Denise Kelly practices at 2404 Wise Rd, Conway, SC 29526. The listed phone number is (843) 365-8884.

What is Denise Kelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Denise Kelly enrolled in Medicare?

Yes. Denise Kelly 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.

When was this NPI record last updated?

The NPPES record for Denise Kelly was last updated on November 11, 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.