KELLIE LEIGH TERRELL
NPI 1861790578
Counselor in Salt Lake City, UT

Q: What is Kellie Terrell's NPI number?

The NPI number for Kellie Terrell is 1861790578. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Q: What is Kellie Terrell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellie Terrell was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 03, 2011PECOS Enrolled

5965 S 900 E, SALT LAKE CITY, UT 84121(801) 263-7100 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kellie Leigh Terrell NPPES

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

KELLIE LEIGH TERRELL (NPI 1861790578) is an individual counselor in Salt Lake City, Utah and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861790578

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKELLIE LEIGH TERRELL

Location Address5965 S 900 ESalt Lake City, UT 84121-1720

Mailing Address5965 S 900 ESalt Lake City, UT 84121-1720 · (801) 263-7100

Phone(801) 263-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 3, 2011

✔ NPI 1861790578 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.

5965 S 900 E, Salt Lake City, UT 84121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Leigh Terrell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547613093

PECOS Enrollment IDI20240131002755

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.

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