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AMY ELIZABETH KELLERMAN LPC
NPI 1881159630
Counselor - Professional in Meadville, PA

Active since February 06, 2019Opted out of Medicare · through May 14, 2028
920 WATER STREET, DOWNTOWN MALL, MEADVILLE, PA 16335(814) 724-4100(814) 333-2779 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy Elizabeth Kellerman Lpc NPPES

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

AMY ELIZABETH KELLERMAN LPC (NPI 1881159630) is an individual professional provider in Meadville, Pennsylvania, licensed in Pennsylvania (PC010772) and active in the NPI registry since February 2019. She has opted out of Medicare through May 14, 2028.

NPPES Registry Identity

NPI1881159630
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY ELIZABETH KELLERMANCredential: LPC
Location Address920 WATER STREET, DOWNTOWN MALLMeadville, PA 16335
Mailing Address920 Water Street, Downtown MallMeadville, PA 16335 · (814) 724-4100 · Fax (814) 333-2779
Phone(814) 724-4100
Fax(814) 333-2779
Sole ProprietorNo
Enumeration DateFebruary 6, 2019
✔ NPI 1881159630 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 · PC010772
920 WATER STREET, Meadville, PA 16335
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Elizabeth Kellerman Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 14, 2024 through May 14, 2028.

Opt-Out Effective DateMay 14, 2024
Opt-Out In Effect ThroughMay 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

MR. JOHN R FORCE JR. LPC, CAADC, NCC
Counselor (Professional)
920 WATER STREET, DOWNTOWN MALL
MEADVILLE, PA 16335
Crawford County (814) 724-4100
CHERE WYLAND-NORCROSS
Counselor (Professional)
920 WATER STREET
MEADVILLE, PA 16335
Crawford County (814) 333-2779

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 Amy Kellerman's NPI number?

The NPI number for Amy Kellerman is 1881159630. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Amy Kellerman located?

Amy Kellerman practices at 920 Water Street Downtown Mall, Meadville, PA 16335. The listed phone number is (814) 724-4100.

What is Amy Kellerman's specialty?

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

Is Amy Kellerman enrolled in Medicare?

No. Amy Kellerman has opted out of Medicare through May 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amy Kellerman was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.