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MRS. LAURA ANN KELLICUT MA
NPI 1922181601
Counselor - Professional in Johnson City, TN

Active since October 24, 2006
109 W WATAUGA AVE, JOHNSON CITY, TN 37604(423) 232-2600(423) 467-3644 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Laura Ann Kellicut Ma NPPES

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

MRS. LAURA ANN KELLICUT MA (NPI 1922181601) is an individual professional provider in Johnson City, Tennessee, licensed in Tennessee (LPC2799) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1922181601
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LAURA ANN KELLICUTCredential: MA
Location Address109 W WATAUGA AVEJohnson City, TN 37604-5621
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 232-2600
Fax(423) 467-3644
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateMarch 6, 2012
✔ NPI 1922181601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · LPC2799
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
109 W WATAUGA AVE, Johnson City, TN 37604
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Other Names 1

Other Name (5)Laura Ann Odell

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.

JACQUELINE KATKO BS
Case Manager/Care Coordinator
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
MATTHEW M MIDKIFF LPC, MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
KIM MARIE DICKSON BACHELORS
Case Manager/Care Coordinator
109 W WATAUGA AVE, WATAUGA BEHAVIORAL HEALTH
JOHNSON CITY, TN 37604
Washington County (423) 232-2788
MR. JONATHAN JUNIOR PERKINS MED
Counselor
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
HANNAH T SHANNON LPC/ MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
HALEY N CIGARROA LPC/ MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
ISAAC LEE MARTIN JR. MRC CRC
Personal Emergency Response Attendant
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
ADAM WAYNE DAVIS
Case Manager/Care Coordinator
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600

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 Laura Kellicut's NPI number?

The NPI number for Laura Kellicut is 1922181601. It was assigned to this individual provider in the NPPES registry on October 24, 2006. The provider is also known as Laura Ann Odell.

Where is Laura Kellicut located?

Laura Kellicut practices at 109 W Watauga Ave, Johnson City, TN 37604. The listed phone number is (423) 232-2600.

What is Laura Kellicut'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 Laura Kellicut was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.