MRS. KELLIE MARIE SPEAR LPCA
NPI 1962879338
Counselor - Professional in Waxhaw, NC
About Mrs. Kellie Marie Spear Lpca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLIE MARIE SPEAR LPCA (NPI 1962879338) is an individual professional provider in Waxhaw, North Carolina, licensed in North Carolina (A11754) and active in the NPI registry since September 2015. She has opted out of Medicare through January 19, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Kellie Marie Spear Lpca 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 January 19, 2024 through January 19, 2028.
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 Kellie Spear's NPI number?
The NPI number for Kellie Spear is 1962879338. It was assigned to this individual provider in the NPPES registry on September 1, 2015.
Where is Kellie Spear located?
Kellie Spear practices at 8603 Dansington Ct, Waxhaw, NC 28173. The listed phone number is (704) 321-9500.
What is Kellie Spear's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kellie Spear enrolled in Medicare?
No. Kellie Spear has opted out of Medicare through January 19, 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 Kellie Spear was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Kellie Marie Spear, LPCA · NPI 1962879338
Professional provider in Waxhaw, North Carolina. Individual provider, active in the CMS NPPES registry since September 1, 2015.
## Identity
- **NPI:** 1962879338 (Entity type: Individual)
- **Enumerated:** September 1, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** A11754 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8603 DANSINGTON CT, Waxhaw, NC 28173-6620
- **Phone:** (704) 321-9500
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 19, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1962879338) · Data from the CMS NPPES public registry.