MRS. AMY LYN KESSLICK MA,MT-BC,LPC
NPI 1891268025
Counselor - Professional in Philadelphia, PA

Q: What is Amy Kesslick's NPI number?

The NPI number for Amy Kesslick is 1891268025. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Q: What is Amy Kesslick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Kesslick was last updated on June 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2019PECOS EnrolledAccepts Medicare Assignment

850 N 11TH ST, PHILADELPHIA, PA 19123(215) 769-1114 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2019, Feb 7, 2019, Jan 10, 2019 (3 updates tracked since 2019).

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About Mrs. Amy Lyn Kesslick Ma,mt-bc,lpc NPPES

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

MRS. AMY LYN KESSLICK MA,MT-BC,LPC (NPI 1891268025) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC010998) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1891268025

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. AMY LYN KESSLICKCredential: MA,MT-BC,LPC

Location Address850 N 11TH STPhiladelphia, PA 19123-1957

Mailing Address850 N 11th StPhiladelphia, PA 19123-1957 · (215) 769-1114

Phone(215) 769-1114

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 10, 2019

Last NPPES UpdateJune 17, 20193 updates tracked since enumeration

✔ NPI 1891268025 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 · PC010998

850 N 11TH ST, Philadelphia, PA 19123

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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

Mrs. Amy Lyn Kesslick Ma,mt-bc,lpc 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 ID5698293504

PECOS Enrollment IDI20250514003645

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.

DEBRA MCGRATH C.R.N.P.

Nurse Practitioner