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KELLY J WEDDLE LMFT
NPI 1902123201
Marriage & Family Therapist in Hodgenville, KY

Active since April 26, 2010PECOS Enrolled
925 S LINCOLN BLVD, HODGENVILLE, KY 42748(844) 435-0900(270) 858-4029 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2023, Aug 18, 2022, Oct 25, 2019 and 1 more (4 updates tracked since 2017).

About Kelly J Weddle Lmft NPPES

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

KELLY J WEDDLE LMFT (NPI 1902123201) is an individual marriage & family therapist in Hodgenville, Kentucky, licensed in Kentucky (276325) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902123201
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY J WEDDLECredential: LMFT
Location Address925 S LINCOLN BLVDHodgenville, KY 42748-1701
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607
Phone(844) 435-0900
Fax(270) 858-4029
Sole ProprietorNo
Enumeration DateApril 26, 2010
Last NPPES UpdateSeptember 1, 20234 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1902123201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in KY · 276325
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
925 S LINCOLN BLVD, Hodgenville, KY 42748
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Other Names 1

Former Name (1)Kelly J Black

Other Identifiers 2

Medicaid7100811660KY
Other15540976KY · Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly J Weddle Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

CUMBERLAND FAMILY MEDICAL CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
925 S LINCOLN BLVD
HODGENVILLE, KY 42748
Larue County (844) 435-0900

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 Weddle's NPI number?

The NPI number for Kelly Weddle is 1902123201. It was assigned to this individual provider in the NPPES registry on April 26, 2010. The provider is also known as Kelly J Black.

Where is Kelly Weddle located?

Kelly Weddle practices at 925 S Lincoln Blvd, Hodgenville, KY 42748. The listed phone number is (844) 435-0900.

What is Kelly Weddle's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelly Weddle enrolled in Medicare?

Yes. Kelly Weddle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Weddle was last updated on September 1, 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.