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KELLY PROVIDENT LPC
NPI 1841056801
Counselor - Professional in Wexford, PA

Active since February 26, 2024
52 PINE CREEK RD STE 200, WEXFORD, PA 15090(724) 719-7603 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Provident Lpc NPPES

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

KELLY PROVIDENT LPC (NPI 1841056801) is an individual professional provider in Wexford, Pennsylvania, licensed in Pennsylvania (PC005935) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1841056801
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY PROVIDENTCredential: LPC
Location Address52 PINE CREEK RD STE 200Wexford, PA 15090-9366
Mailing Address52 Pine Creek Rd Ste 200Wexford, PA 15090-9366
Phone(724) 719-7603
Sole ProprietorNo
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1841056801 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 PA · PC005935
52 PINE CREEK RD STE 200, Wexford, PA 15090
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Other Providers at the Same Location NPPES 4

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

DR. JENNIFER JO ELDRIDGE PH.D.
Psychologist (Clinical)
52 PINE CREEK RD STE 200
WEXFORD, PA 15090
Allegheny County (724) 719-7603
MS. NICOLETTA CARDILLI LPC
Counselor (Professional)
52 PINE CREEK RD STE 200
WEXFORD, PA 15090
Allegheny County (412) 952-9697
LEYNA BONANNO
Counselor (Professional)
52 PINE CREEK RD STE 200
WEXFORD, PA 15090
Allegheny County (412) 616-2283
LEYNA BONANNO LPC
Counselor (Professional)
52 PINE CREEK RD STE 200
WEXFORD, PA 15090
Allegheny County (412) 616-2283

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 Provident's NPI number?

The NPI number for Kelly Provident is 1841056801. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Kelly Provident located?

Kelly Provident practices at 52 Pine Creek Rd Ste 200, Wexford, PA 15090. The listed phone number is (724) 719-7603.

What is Kelly Provident's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Provident was last updated on February 26, 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.